JON RYAN OLSON (NPI# 1790813970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790813970 |
| Entity Type | Individual |
| Full Name | JON RYAN OLSON |
| Credential | D.O. |
| Practice Address |
77 Nealy Ave Hampton VA 23665-2040 |
| Mailing Address |
446 Oak Ln Palmyra PA 17078-2936 |
| Practice Telephone | 7577641987 |
| Mailing Telephone | 7174733021 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 0102204679 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881666162 | Jon Olof Olson | Optometrist | 4105 North Lexington Avenue, #250 Mail Stop 33000a, St Paul, MN 55126-6181 | 2006-02-02 |
| 1487703922 | Jon B Olson | Pain Medicine | 21701 76th Ave W, #203, Edmonds, WA 98026-7536 | 2007-01-10 |
| 1619966819 | Jon D Olson | Psychiatry & Neurology | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2005-10-19 |
| Street Address |
77 NEALY AVE |
| City | HAMPTON |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091966 | Arthur J Greenwood | Obstetrics & Gynecology | 77 Nealy Ave, Hampton, VA 23665-2040 | 2005-08-24 |
| 1659979961 | Melissa Danielle Hanley | Nurse Practitioner | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-10-09 |
| 1821609488 | Julianne Legierse | Nurse Practitioner | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-08-16 |
| 1386252872 | Joseph John Mieding | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-07-21 |
| 1487270195 | Juan Rafael Rodriguez | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-06-18 |
| 1710510722 | Robert Dillon Huhn | Nurse Practitioner | 77 Nealy Ave, Emergency Department, Hampton, VA 23665-2040 | 2020-02-18 |
| 1497387401 | Duc Ha | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-02-07 |
| 1962034967 | Maria Theresa Leusink | Pharmacist | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-02-07 |
| 1316585755 | Victoria Marie Larwin | Family Medicine | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-12-17 |
| 1144781576 | Kyle David Long | Physician Assistant | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387401 | Duc Ha | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637626 | Hands On Healing Therapy | Military Health Care Provider | 1901 Huguenot Rd Ste 106, North Chesterfield, VA 23235-4311 | 2020-04-13 |
| 1467019398 | Michael Gumpert | Military Health Care Provider | 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 | 2019-05-27 |
| 1942707690 | Kevin H Chen | Military Health Care Provider | 1640 Tomcat Blvd Ste 300, Virginia Beach, VA 23460-2229 | 2018-04-10 |
| 1396262903 | Spencer Nelson | Military Health Care Provider | 2122 Longfellow Rd, Yorktown, VA 23691-5118 | 2017-08-24 |
| 1770019937 | Mitchell Ayers | Military Health Care Provider | 4273 Llewellyn Ave Apt 401, Norfolk, VA 23504-1140 | 2017-05-10 |
| 1033572003 | Alan Joseph Nicotra | Military Health Care Provider | 1059 Bellinger Blvd, Norfolk, VA 23511-2298 | 2016-03-29 |
| 1376908939 | Savannah Bailey | Military Health Care Provider | 17019 Cass Brook Ln, Woodbridge, VA 22191-5162 | 2015-12-28 |
| 1427424621 | Willie Patrick Mitchell | Military Health Care Provider | 528 Minute Men Rd, Virginia Beach, VA 23462-2232 | 2015-08-11 |
| 1184011744 | Jacob Paul Reinhart | Military Health Care Provider | Us Fleet Forces Command 1562 Mitscher Ave Ste-250, Norfolk, VA 23551-2487 | 2015-04-22 |
| 1619154556 | Pacot Builders Inc | Military Health Care Provider | 315 Brookestone Dr, Forest, VA 24551 | 2008-01-23 |
| 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.