DR. MICHELLE M OLSON (NPI# 1366405102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366405102 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE M OLSON |
| Credential | MD |
| Practice Address |
611 W Park St Urbana IL 61801 |
| Mailing Address |
611 W Park St Bwpc Urbana IL 61801 |
| Practice Telephone | 2173833080 |
| Practice Fax Number | 2173834868 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2016-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 036129211 | IL | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | MD424639 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101317244 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851400766 | Michelle Lea Olson | Dentist | 4939 Courthouse St, Williamsburg, VA 23188-2687 | 2006-08-30 |
| 1982223541 | Michelle Botts Olson | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-14 |
| 1538653225 | Michelle M Olson | Hearing Instrument Specialist | 612 5th St Nw, Bemidji, MN 56601-2915 | 2018-06-18 |
| 1649702085 | Michelle Olson | Pharmacist | 322 E Michigan Ave, Paw Paw, MI 49079-1408 | 2017-04-03 |
| 1952780900 | Michelle Olson | Speech-Language Pathologist | 3509 Interstate Blvd S Ste B, Fargo, ND 58103-2200 | 2015-05-22 |
| 1265708861 | Michelle Lynn Olson | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2012-03-28 |
| 1952687592 | Michelle Marie Olson | Occupational Therapist | 300 N 7th St, Bismarck, ND 58501-4439 | 2011-10-27 |
| 1427342799 | Michelle Renee Olson | Pharmacist | 2430 Santa Barbara Blvd, T-1454, Cape Coral, FL 33914-4485 | 2011-06-04 |
| 1710200217 | Michelle Rimbocchi Olson | Physical Therapist | 400 W Highway 290, Suite B104, Dripping Springs, TX 78620-4379 | 2010-03-11 |
| 1376770503 | Michelle Olson | Occupational Therapist | 2120 Exchange St, Suite 104, Astoria, OR 97103-3365 | 2009-06-15 |
| Street Address |
611 W PARK ST |
| City | URBANA |
| State | IL |
| Zip Code | 61801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193416 | Mark L Saxton | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2005-06-10 |
| 1083214514 | Karissa Nelson | Physical Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-10-26 |
| 1720698756 | Justin Matthew Felix | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-04 |
| 1033729306 | Patricia Fairchild | Occupational Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-03 |
| 1851909782 | Shruti Agarwal | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-16 |
| 1396363321 | Muhammad Umair Rana | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-07 |
| 1740807817 | Salma Malik | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-06 |
| 1477171536 | Audrey T Lam | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1255959318 | Corbin Reid Mah | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1093332652 | Knika Sethi | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326159088 | Paul M Tender | Colon & Rectal Surgery | 611 W. Park St., Colon and Rectal Surgery, Urbana, IL 61801 | 2006-08-31 |
| 1417068131 | Lyn Tangen | Colon & Rectal Surgery | 611 W. Park St., Colon & Rectal Surgery, Urbana, IL 61801-2500 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189959 | Mantilla Surgical Sc | Colon & Rectal Surgery | 42 Gale Ave, River Forest, IL 60305-2010 | 2020-03-17 |
| 1245662626 | Ajit Pai | Colon & Rectal Surgery | 1775 W Dempster Street, Advocate Lutheran Hospital, Parkridge, IL 60016-4993 | 2013-08-07 |
| 1376845149 | Saeed Salem Albalawi | Colon & Rectal Surgery | 2626 N Ashland Ave, Apartment #1, Chicago, IL 60614-1102 | 2010-11-29 |
| 1386962207 | Gerald Gantt Jr. | Colon & Rectal Surgery | 840 S Wood St Ste 518e, Chicago, IL 60612 | 2010-05-17 |
| 1336186113 | Darryl Fernandes | Colon & Rectal Surgery | 1300 Franklin Ave Ste 210, Normal, IL 61761-3588 | 2006-06-01 |
| 1265498463 | Shanmugam Lakshmanan Sc | Colon & Rectal Surgery | 111 E Rogers St, Salem, IL 62881-2902 | 2006-04-25 |
| 1225014889 | Sanath Kumar | Colon & Rectal Surgery | 9445 W 144th Pl, Orland Park, IL 60462-2543 | 2005-12-15 |
| 1942291604 | Vitaliy Y. Poylin | Colon & Rectal Surgery | 259 E Erie St Fl 16, Chicago, IL 60611-2987 | 2005-11-02 |
| 1457348401 | Jan Rakinic | Colon & Rectal Surgery | 315 W Carpenter St, 2nd Floor, Springfield, IL 62702-4901 | 2005-10-04 |
| 1104379973 | Jean-francois Tremblay | Colon & Rectal Surgery | 1550 N Northwest Hwy, Suite 107, Park Ridge, IL 60068-1411 | 2016-07-28 |
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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.