CONNOR GUSTAV OLSON (NPI# 1295240687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295240687 |
| Entity Type | Individual |
| Full Name | CONNOR GUSTAV OLSON |
| Credential | LAT, ATC |
| Practice Address |
2140 Davidson Rd Waukesha WI 53186-4008 |
| Mailing Address |
1804 Lake Rd Altoona WI 54720-1419 |
| Practice Telephone | 2629513253 |
| Mailing Telephone | 7158287141 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 W College Ave, Saint Peter, MN 560821485 | 5079336462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184283293 | Connor David Olson | Physical Therapist | 100 Healthy Way, Olivia, MN 56277-1117 | 2019-06-12 |
| Street Address |
2140 DAVIDSON RD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902257819 | Jennifer Treena Elizabeth Hunt | Physician Assistant | 2140 Davidson Rd, Waukesha, WI 53186-4008 | 2016-06-22 |
| 1225665797 | Kaley M Heiman | Physician Assistant | 2140 Davidson Rd, Waukesha, WI 53186-4008 | 2020-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626769 | Jannalynne Joy Beilke-skoug | Student in an Organized Health Care Education/Training Program | 2414 Springdale Rd Apt 210, Waukesha, WI 53186-8704 | 2020-07-20 |
| 1578180022 | Braden Michael Christensen | Student in an Organized Health Care Education/Training Program | 1405 Rockridge Rd Apt 343, Waukesha, WI 53188-2893 | 2020-07-01 |
| 1386260727 | Erika Paige Brown | Student in an Organized Health Care Education/Training Program | 1800 Shepherd Ct Apt 336, Waukesha, WI 53186-1424 | 2020-06-22 |
| 1053936088 | Amanda Lynn Oeder | Student in an Organized Health Care Education/Training Program | 1902 E Broadway Apt 420, Waukesha, WI 53186-8183 | 2020-06-16 |
| 1033734397 | Esther Rose Den Herder | Student in an Organized Health Care Education/Training Program | 2221 Hollidale Dr Apt 206b, Waukesha, WI 53186-2946 | 2020-06-12 |
| 1235754631 | Alex Pekarske | Student in an Organized Health Care Education/Training Program | 1724 E Racine Ave Apt 102, Waukesha, WI 53186-0725 | 2020-06-11 |
| 1306461769 | Raelee Penzi | Student in an Organized Health Care Education/Training Program | 2416 Springdale Rd Apt 205, Waukesha, WI 53186-2738 | 2020-06-11 |
| 1700401189 | Emily Poenitsch | Student in an Organized Health Care Education/Training Program | 1040 River Place Blvd Unit 5, Waukesha, WI 53189-7887 | 2020-06-11 |
| 1023639135 | Michael Roesch | Student in an Organized Health Care Education/Training Program | S51w23773 Turners Pike W, Waukesha, WI 53189-7948 | 2020-04-29 |
| 1649803198 | Brielle Bartes | Student in an Organized Health Care Education/Training Program | S73w26285 Sierra Madre Ct, Waukesha, WI 53189-9643 | 2020-02-12 |
| Find all providers in WAUKESHA | ||||
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| 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.