KEVIN H. OLSEN M.D. PC (NPI# 1659572733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659572733 |
| Entity Type | Organization |
| Organization Name | KEVIN H. OLSEN M.D. PC |
| Practice Address |
2603 Stafford Ave Scranton PA 18505-3608 |
| Mailing Address |
2603 Stafford Avenue Scranton PA 18505-3608 |
| Practice Telephone | 5705585558 |
| Practice Fax Number | 5705585557 |
| Mailing Telephone | 5705585558 |
| Mailing Fax Number | 5705585557 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | DR. KEVIN H OLSEN (PRESIDENT) |
| Authorized Official Telephone | 5705585558 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD042779E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011413170012 | 05 |
| Street Address |
2603 STAFFORD AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18505-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517632 | Jessica Linette Redding | Nurse Practitioner | 2603 Stafford Ave, Scranton, PA 18505-3608 | 2019-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952927998 | Gary Chee Seng Oh | Student in an Organized Health Care Education/Training Program | 501 S. Washintgon Avenue, Scranton, PA 18505 | 2020-06-24 |
| 1851915813 | Usman Amjia Manzoor | Student in an Organized Health Care Education/Training Program | 501 South Washintgon Avenue, Scranton, PA 18505 | 2020-06-04 |
| 1396368791 | Navharsh Kaur Sekhon | Student in an Organized Health Care Education/Training Program | 501 S, Washington Avenue, Scranton, PA 18505 | 2020-05-20 |
| 1275154395 | Yamini Indravadan Patel | Student in an Organized Health Care Education/Training Program | 501 South Washington Avenue The Wright Center for Gradu, 501 South Washington Avenue, Scranton, PA 18505 | 2020-04-29 |
| 1225659584 | Raza Naseer | Student in an Organized Health Care Education/Training Program | 501 S. Washington Avenue, Scranton, PA 18505 | 2020-04-28 |
| 1932720307 | Mohammad Asim Amjad | Student in an Organized Health Care Education/Training Program | 501 South Washington Avenue, Scranton, PA 18505 | 2020-04-27 |
| 1033739404 | Amina Khan | Student in an Organized Health Care Education/Training Program | 501 S Washington Avenue, Scranton, PA 18505 | 2020-04-25 |
| 1245862259 | Princy Kanakkumar Shah | Internal Medicine | Wright Medical Center, 501 S Washington Avenue, Scranton, PA 18505 | 2020-02-07 |
| 1902363005 | Keystone Community Resources, Inc. | Day Training/Habilitation Specialist | 628 Genet Street, Scranton, PA 18505 | 2019-02-25 |
| 1629596242 | Morgan Aubrey Yackey | Social Worker | 1509 Maple St., Scranton, PA 18505 | 2017-09-04 |
| Find all providers in zip 18505 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1376634949 | Kevin H Olsen | Internal Medicine | 2603 Stafford Avenue, Scranton, PA 18505-3608 | 2006-09-27 |
| 1295730182 | Leonard J Denis | Internal Medicine | 746 Jefferson Avenue, Suite 305, Scranton, PA 18510 | 2005-06-16 |
| 1306070735 | Nishant Sethi | Internal Medicine | 743 Jefferson Ave, Suite 305, Scranton, PA 18510-1635 | 2009-05-13 |
| 1588816854 | Michelle Diane Spotnitz | Internal Medicine | 1800 Mulberry Street, Scranton, PA 18510-6800 | 2008-10-18 |
| 1396803938 | Richard Edward Gratz | Internal Medicine | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2006-12-05 |
| 1659467330 | Matthew Martin Stopper | Internal Medicine | 746 Jefferson Ave, Suite 305, Scranton, PA 18510-1624 | 2006-10-04 |
| 1679668214 | Peter J Cawley | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2006-10-03 |
| 1528080116 | Joseph Russo | Internal Medicine | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2006-07-24 |
| 1891785952 | David L Lohin | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-10-28 |
| 1902896210 | Madhava S Rao | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-10-27 |
| Find all providers in SCRANTON | ||||
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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.