RANDALL V OLSEN (NPI# 1700875788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700875788 |
| Entity Type | Individual |
| Full Name | RANDALL V OLSEN |
| Credential | MD |
| Practice Address |
1600 E Broadway Columbia MO 65201-5844 |
| Mailing Address |
Po Box 3242 Indianapolis IN 46206-3242 |
| Practice Telephone | 5738158000 |
| Practice Fax Number | 5738156343 |
| Mailing Telephone | 8442954873 |
| Mailing Fax Number | 8448390626 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2017-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
6035963-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2017004467 | MO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
11771 | NV | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
6035963-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
2017004467 | MO | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
6035963-12 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IHC | 107044372101 | 01 | |
| MO | 1093702185 | 05 | |
| UT | BX | 60359631200001 | 01 |
| UT | 870487570004 | 05 | |
| UT | EMIA | 870487570RDS | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144203530 | Randall R. Olsen | Audiologist | 5267 Pearl Rd, Parma, OH 44129-1550 | 2005-11-21 |
| 1487841334 | Randall James Olsen | Pathology | 6565 Fannin Street, Ms205, Houston, TX 77030-2703 | 2007-09-25 |
| Street Address |
1600 E BROADWAY |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-5844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124266 | Randall E Mueller | Emergency Medicine | 1600 E Broadway, Columbia, MO 65201-5844 | 2005-06-15 |
| 1154939056 | Ch Allied Services, Inc. | Clinical Medical Laboratory | 1600 E Broadway, Columbia, MO 65201-5844 | 2020-07-16 |
| 1508482407 | Taylor Frymire | Nurse Anesthetist, Certified Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2020-06-17 |
| 1609405786 | Terrissa Marie Neimeyer | Registered Nurse | 1600 E Broadway, Columbia, MO 65201-5844 | 2020-04-02 |
| 1659906345 | Mary F Linneman | Dietitian, Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2020-03-03 |
| 1689219479 | Katie A Shelton | Dietitian, Registered | 1600 E Broadway, Columbia, MO 65201-5897 | 2019-11-15 |
| 1003459280 | Laura Grace Mcdermott | Dietitian, Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2019-10-21 |
| 1518517515 | Victoria Knecht Copeland | Dietitian, Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2019-09-12 |
| 1811546559 | Elias Kiptoo Melly | Nurse Anesthetist, Certified Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2019-09-05 |
| 1023664562 | Rebekah Bail | Nurse Practitioner | 1600 E Broadway, Columbia, MO 65201-5844 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1275028136 | Austin Fletcher | Radiology | University Hospital One Hospital Drive, Department of Radiology Dc 069.10, Columbia, MO 65212-0001 | 2018-06-24 |
| 1316467046 | Philip Silva | Radiology | 1 Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2017-06-23 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1467993386 | Iv Radiology Medical Group | Radiology | 10000 Town Center Ave, Apt 244, Columbia, MD 21044-5418 | 2017-03-10 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| 1023462439 | Robert Michael Robbins | Radiology | 1 Hospital Drive Columbia Mo 65212, Columbia, MO 65212-4973 | 2016-04-21 |
| 1669836292 | Brian Trissell | Radiology | 1 Hospital Drive Dc069.10, Columbia, MO 65212 | 2016-04-10 |
| 1295104073 | Arthur Knight Walter | Radiology | 737 River Rd, Columbia, SC 29212-8809 | 2015-09-22 |
| 1750765558 | Joel Schmidt | Radiology | 1 Hospital Drive, Dc069.10, Columbia, MO 65212 | 2015-07-13 |
| Find all providers in COLUMBIA | ||||
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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.