MICHAEL OLM (NPI# 1386045367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386045367 |
| Entity Type | Individual |
| Full Name | MICHAEL OLM |
| Credential | PA-C |
| Practice Address |
35 Kennedy Dr Putnam CT 06260-1939 |
| Practice Telephone | 8606340726 |
| Mailing Telephone | 8609632133 |
| Mailing Fax Number | 8609638955 |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2018-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4049 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1045 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
35 KENNEDY DR |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186222 | Kevin J Reagan | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-06-30 |
| 1568947570 | Ortho New England LLC | Durable Medical Equipment & Medical Supplies | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2018-09-26 |
| 1457848418 | Alyson Marie Stolz | Physician Assistant | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2018-04-16 |
| 1134365976 | Kerri Lynn Sauer | Nurse Practitioner | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2008-12-29 |
| 1770532566 | Orthopedic Associates of Windham County LLP | Nurse Practitioner | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2006-05-09 |
| 1265495238 | Nathanael T. Trythall | Physical Therapist | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2006-04-10 |
| 1295700813 | David J Lachance | Nurse Practitioner | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2006-02-17 |
| 1528065851 | Biren V Chokshi | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-07-01 |
| 1003813502 | Scott A Green | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164082301 | Julie Van Saun | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-06-19 |
| 1518434422 | Betsy Alvarado | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2018-10-29 |
| 1245530682 | Rebecca Lynn Ladyka | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2010-11-02 |
| 1174835292 | Kristin E Hall | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2010-07-06 |
| 1972821270 | Lacey Bryn Luneau | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2010-05-11 |
| 1578706768 | Matthew Alan Sleboda | Physician Assistant | 145 Pomfret St, Putnam, CT 06260-1803 | 2009-04-17 |
| 1376517136 | Mark J. Coyle | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295913 | Courtney Marquardt | Physician Assistant | 25 Buckland Rd, South Windsor, CT 06074-3703 | 2020-11-04 |
| 1154922623 | Alexis Cardinali | Physician Assistant | 175 S Meriden Rd, Cheshire, CT 06410-2973 | 2020-11-02 |
| 1689274417 | Danielle Kerr | Physician Assistant | 1055 Kennedy Rd, Windsor, CT 06095-1308 | 2020-10-30 |
| 1467051920 | Cynthia G Moreno | Physician Assistant | 76 Newtown Rd Ste C, Danbury, CT 06810-6265 | 2020-10-25 |
| 1245837764 | Lauren Tripodi | Physician Assistant | 9 Sunset Hill Rd, Newtown, CT 06470-1318 | 2020-10-07 |
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1558977868 | Gabrielle Guetta | Physician Assistant | 25 Woody Ln, Westport, CT 06880-2260 | 2020-09-22 |
| 1609481639 | Gresi Kello | Physician Assistant | 506 Frost Rd, Waterbury, CT 06705-2304 | 2020-09-15 |
| 1477167351 | Connecticut Children's Eye Care, P.C. | Physician Assistant | 131 New London Tpke Ste 200, Glastonbury, CT 06033-2246 | 2020-09-08 |
| 1750991303 | Lana Chapman | Physician Assistant | 289 Curtis St Apt 2, Meriden, CT 06450-5910 | 2020-08-07 |
| 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.