JAY E. OLSSON, D.O., P.A.


Address: 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659
Phone: 3212429031

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
OS0004087 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE ID K5335 01

Office Location

Street Address 401 N WICKHAM RD
SUITE S
City MELBOURNE
State FL
Zip Code 32935-8659

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City MELBOURNE
Zip Code 32935

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Dataset Information

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.

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