JAY E. OLSSON, D.O., P.A. (NPI# 1366463226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366463226 |
Entity Type | Organization |
Organization Name | JAY E. OLSSON, D.O., P.A. |
Practice Address |
401 N Wickham Rd Suite S Melbourne FL 32935-8659 |
Practice Telephone | 3212429031 |
Practice Fax Number | 3212429035 |
Mailing Telephone | 3212429031 |
Mailing Fax Number | 3212429035 |
Enumeration Date | 2006-07-23 |
Last Update Date | 2015-04-09 |
Authorized Official Name | JAY EDWARD OLSSON (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3212429031 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
OS0004087 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE ID | K5335 | 01 |
Street Address |
401 N WICKHAM RD SUITE S |
City | MELBOURNE |
State | FL |
Zip Code | 32935-8659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306836952 | Poonam Mishra | Family Medicine | 401 N Wickham Rd, Suite H, Melbourne, FL 32935-8659 | 2005-10-25 |
1669750873 | Brevard Hma Hme, LLC | Durable Medical Equipment & Medical Supplies | 401 N Wickham Rd, Suite K, Melbourne, FL 32935-8659 | 2011-07-22 |
1295051845 | Ashwini Healthcare LLC | Pharmacy | 401 N Wickham Rd, Suite W and X, Melbourne, FL 32935-8659 | 2010-04-07 |
1134231079 | The Affordable Apothecary Inc | Pharmacy | 401 N Wickham Rd, Ste E, Melbourne, FL 32935-8659 | 2006-08-31 |
1477562403 | Medical Associates of Brevard LLC | Clinic/Center | 401 N Wickham Rd, Suite H, Melbourne, FL 32935-8659 | 2006-08-07 |
1144264904 | Jay Edward Olsson | Physical Medicine & Rehabilitation | 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 | 2006-06-15 |
1841234721 | Christopher Stanley Cole | Physician Assistant | 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 | 2006-06-15 |
1265415103 | Michelle Jane Madan | Nurse Practitioner | 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
Find all providers in zip 32935 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417277831 | Mary Catherine Elliott | Physical Medicine & Rehabilitation | 3613 Quail Ct, Melbourne, FL 32904-9517 | 2010-06-08 |
1780108787 | Meghan Ashley Simon | Physical Medicine & Rehabilitation | 205 E Nasa Blvd Ste 200, Melbourne, FL 32901-1954 | 2017-08-01 |
1336684182 | Florida Pain & Rehabilitation Institute Inc | Physical Medicine & Rehabilitation | 308 S Harbor City Blvd Ste A, Melbourne, FL 32901-1500 | 2017-01-04 |
1518135888 | Sherin Kamal Fetouh | Physical Medicine & Rehabilitation | 307 E New Haven Ave, Melbourne, FL 32901-4576 | 2008-02-20 |
1023041001 | Loggerhead Medical LLC | Physical Medicine & Rehabilitation | 307 E New Haven Ave, Melbourne, FL 32901-4576 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
Find all providers with the same taxonomy |
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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.