ELIS Y OLSON (NPI# 1285629923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285629923 |
| Entity Type | Individual |
| Full Name | ELIS Y OLSON |
| Credential | MD |
| Practice Address |
101 Sivley Rd Sw Er Dept Huntsville AL 35801-4421 |
| Mailing Address |
Po Box 11407 Drawer 0314 Birmingham AL 35246-0314 |
| Practice Telephone | 2562659905 |
| Practice Fax Number | 2562659910 |
| Mailing Telephone | 8007494560 |
| Mailing Fax Number | 4057513183 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2015-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 00020602 | AL | Allopathic & Osteopathic Physicians |
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
15576 | NV | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 15576 | NV | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
00020602 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | TRICARE | 200174262 | 01 |
| AL | AETNA | 4297420 | 01 |
| AL | 000032416 | 05 | |
| AL | CHAMPUS | 200174262 | 01 |
| AL | MAILHANDLERS | N18178 | 01 |
| AL | BCBS | 051032416 | 01 |
| AL | UNITED HEALTH CARE | 2011312 | 01 |
| AL | 009939515 | 05 | |
| AL | BCBS OF ALABAMA | 051518178 | 01 |
| Street Address |
101 SIVLEY RD SW ER DEPT |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205820057 | Daniel W Fox | Internal Medicine | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2005-09-08 |
| 1972104479 | Elizabeth Rose Gray | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2020-11-03 |
| 1427657121 | Heather Chalene Courson Mcallister | Registered Nurse | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2020-10-22 |
| 1427662980 | Steffany Hauenstein | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2020-09-02 |
| 1083225486 | Sergio Wiscovich | Nurse Anesthetist, Certified Registered | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2020-08-11 |
| 1073123766 | Kayla Goins | Nurse Anesthetist, Certified Registered | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2020-08-06 |
| 1649889478 | Jelisa Goode | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2020-07-28 |
| 1942823299 | Adam Taylor Stroud | Nurse Anesthetist, Certified Registered | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2020-05-21 |
| 1871112680 | Katherine Sherrouse | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2020-04-11 |
| 1578191094 | Carli Jo Beth Smith Morris | Registered Nurse | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073889275 | Jerry Matthew Digman | Emergency Medicine | 1600 7th Ave S Ste 110, Birmingham, AL 35233-1711 | 2012-04-01 |
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on ELIS Y OLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.