Kevin H. Olsen (NPI# 1376634949, PAC ID# 2860535929) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1376634949 |
PAC ID by PECOS | 2860535929 |
Professional Enrollment ID | I20100211000462 |
Full Name | Kevin H. Olsen |
Address |
2603 Stafford Ave Scranton PA 18505-3608 |
Gender | M |
Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390237 | REGIONAL HOSPITAL OF SCRANTON |
390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
390137 | WILKES-BARRE GENERAL HOSPITAL |
390125 | WAYNE MEMORIAL HOSPITAL |
390119 | MOSES TAYLOR HOSPITAL |
Address | Phone | Organization |
---|---|---|
2603 Stafford Ave, Scranton, PA 18505-3608 |
Street Address |
2603 STAFFORD AVE |
City | SCRANTON |
State | PA |
Zip | 18505-3608 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarah Christine Bodnar | Clinical Social Worker | 631 Cedar Ave, Scranton, PA 18505-1211 | |
Jessica R Eberle | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
Jill Diane Kissolovege | Internal Medicine | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
Kelly Marie Pidgeon | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
Aunisha V Desai | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
Samipkumar Patel | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
Amanda Lee Crambo | Nurse Practitioner | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
Erika L Black | Nurse Practitioner | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
Tara Ann Cywinski | Nurse Practitioner | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
Corinna Jay Kirkpatrick | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
Find all physicians in zip 18505 |
City | SCRANTON |
Zip Code | 18505 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | SCRANTON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.