DR. KEVIN F OLSON II (NPI# 1629077722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629077722 |
| Entity Type | Individual |
| Full Name | DR. KEVIN F OLSON II |
| Credential | MD |
| Practice Address |
48 Route 25a Suite 210 Smithtown NY 11787-1431 |
| Practice Telephone | 6318623696 |
| Practice Fax Number | 6318623698 |
| Mailing Telephone | 6318623696 |
| Mailing Fax Number | 6318623698 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 139236 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00970347 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568073914 | Kevin Sean Olson | Student in an Organized Health Care Education/Training Program | 4235 Ulloa St, New Orleans, LA 70119-6745 | 2020-08-10 |
| 1770718850 | Kevin J Olson | Dentist | 4530 S Carson St Ste 5, Carson City, NV 89701-6914 | 2009-05-19 |
| 1184600728 | Kevin L Olson | Family Medicine | 8255 E Main St, Marshall, VA 20115-3271 | 2005-12-15 |
| 1871860957 | Kevin Craig Olson | Pharmacist | 3501 Ingersoll Ave, Des Moines, IA 50312-3406 | 2011-11-17 |
| 1407144074 | Kevin Olson | Pharmacist | 15800 87th St Ne, T2456, Otsego, MN 55330-6546 | 2011-07-18 |
| 1902199235 | Kevin Evan Olson | Pharmacist | 819 N Main St, Payson, UT 84651-3426 | 2011-05-19 |
| 1487758405 | Kevin L. Olson | Physical Therapist | 325 9th Ave, Box 359920, Seattle, WA 98104-2420 | 2006-09-11 |
| 1053424101 | Kevin W. Olson | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2006-08-15 |
| 1902813645 | Kevin K Olson | Physician Assistant | 3200 Sw 60th Ct, Suite 104, Miami, FL 33155-4000 | 2006-08-02 |
| 1578555975 | Kevin Ronald Olson | Family Medicine | 615 Sw 3rd St, Lees Summit, MO 64063-2212 | 2005-08-22 |
| Street Address |
48 ROUTE 25A SUITE 210 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460343 | Rakesh B Patel | Specialist | 48 Route 25a, Suite 103, Smithtown, NY 11787-1431 | 2005-07-14 |
| 1114345055 | Rakesh B. Patel Physician PC | Specialist | 48 Route 25a, Suite 103, Smithtown, NY 11787-1431 | 2014-03-28 |
| 1730428467 | Southwest Suffolk, P.c | Family Medicine | 48 Route 25a, Suite 210, Smithtown, NY 11787-1431 | 2013-01-31 |
| 1245586528 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 48 Route 25a, Suite 303, Smithtown, NY 11787-1431 | 2012-07-24 |
| 1669748943 | Jessica Piccoli | Physician Assistant | 48 Route 25a, Medical Office Building, Suite 305, Smithtown, NY 11787-1431 | 2012-03-30 |
| 1083986418 | Joseph R Vitolo Md PC | Surgery | 48 Route 25a, Suite 308, Smithtown, NY 11787 | 2012-02-01 |
| 1205168739 | Nick H Gabriel Do PC | Surgery | 48 Route 25a, Suite 104, Smithtown, NY 11787-1431 | 2010-02-09 |
| 1851533699 | Richard Charles Feldstein | Internal Medicine | 48 Route 25a, Suite 107, Smithtown, NY 11787-1431 | 2009-03-25 |
| 1326206079 | Valentina Emilia Radianu | Anesthesiology | 48 Route 25a, Smithtown, NY 11787-1431 | 2008-05-29 |
| 1295992535 | Michael Raymond Weber | Internal Medicine | 48 Route 25a, Suite 103, Smithtown, NY 11787-1431 | 2008-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194025973 | Long Island Gastroenterology and Liver Disease P.C. | Internal Medicine | 48 Route 25a Ste 307, Smithtown, NY 11787-1454 | 2010-10-27 |
| 1760629919 | Kanika Kaur | Internal Medicine | 48 Route 25a Ste 105, Smithtown, NY 11787-1447 | 2009-01-09 |
| 1790943694 | Kanwar Iqbal Singh Gill | Internal Medicine | 300 E Main St Ste 6, Smithtown, NY 11787-2900 | 2008-05-28 |
| 1902072176 | Med Tech Medical Diagnostics PC | Internal Medicine | 1056 Jericho Tpke, Smithtown, NY 11787-3212 | 2008-05-07 |
| 1780881680 | Chun Chen | Internal Medicine | 278 E Main St Ste A, Smithtown, NY 11787-2915 | 2007-07-02 |
| 1922156132 | E.lila Augoustiniatos, Md, PC | Internal Medicine | 100 Terry Road, Smithtown, NY 11787-3811 | 2007-01-07 |
| 1669561940 | Eileen M Barr | Internal Medicine | 100 Terry Rd, Smithtown, NY 11787-3811 | 2006-10-12 |
| 1376649657 | Sheldon G Fagen | Internal Medicine | 994 W Jericho Tpke Ste 201, Smithtown, NY 11787-3234 | 2006-09-15 |
| 1811901200 | David Michael Horowitz | Internal Medicine | 2 Brooksite Drive, Suite 210, Smithtown, NY 11787-3492 | 2006-07-28 |
| 1467466581 | James Robert Powell | Internal Medicine | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2006-07-27 |
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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.