Trevor Olsen (NPI# 1578774766, PAC ID# 7810169265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1578774766 |
| PAC ID by PECOS | 7810169265 |
| Professional Enrollment ID | I20111007000571 |
| Full Name | Trevor Olsen |
| Organization Legal Name | WARREN GENERAL HOSPITAL |
| Address |
10 Timberview Ln Russell PA 16345-4150 |
| Phone Number | 8147233300 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4880501402 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390146 | WARREN GENERAL HOSPITAL |
| 390063 | UPMC HAMOT HOSPITAL |
| 390086 | PENN HIGHLAND DUBOIS |
| 391308 | LECOM HEALTH CORRY MEMORIAL HOSPITAL |
| 390104 | KANE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 State St, Erie, PA 16550-0002 | 8148776000 | WARREN GENERAL HOSPITAL |
| 10 Timberview Ln, Russell, PA 16345-4150 | 8147233300 | WARREN GENERAL HOSPITAL |
| 103 W Saint Clair St, Warren, PA 16365-2197 | 8147233300 | WARREN GENERAL HOSPITAL |
| 2 Crescent Park W, Warren, PA 16365-2111 | 8147233300 | WARREN GENERAL HOSPITAL |
| 2 W Crescent Park, Warren Medical Group Pediatrics, Warren, PA 16365-2111 | 8147233300 | WARREN GENERAL HOSPITAL |
| Organization Legal Name | WARREN GENERAL HOSPITAL |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Eckman | Nurse Practitioner | Warren General Hospital | 2 Crescent Park W, Warren, PA 16365-2111 |
| Kristi Simpson | Physician Assistant | Warren General Hospital | 10 Timberview Ln, Russell, PA 16345-4150 |
| Shawna D Steffan | Physician Assistant | Warren General Hospital | 2 W Crescent Park, Warren Medical Group Pediatrics, Warren, PA 16365-2111 |
| John J Sutton | Family Medicine | Warren General Hospital | 103 W Saint Clair St, Warren, PA 16365-2197 |
| Regan N Olsen | Nurse Practitioner | Warren General Hospital | 10 Timberview Ln, Russell, PA 16345-4150 |
| Antonio J Ambrad | Radiation Oncology | Warren General Hospital | 2 W Crescent Park, Warren, PA 16365-2111 |
| Mark A Gruber | Certified Registered Nurse Anesthetist (crna) | Warren General Hospital | 2 W Crescent Park, Warren, PA 16365-2111 |
| Allison Claire Munella | Physician Assistant | Warren General Hospital | 2 W Crescent Park, Credentials Office, Warren, PA 16365-2111 |
| Vijaya Agarwala | Anesthesiology | Warren General Hospital | 2 W Crescent Park, Warren, PA 16365-2111 |
| Andrew Timothy Braun | Physician Assistant | Warren General Hospital | 2 W Crescent Park, Warren Medical Group Pediatrics, Warren, PA 16365-2111 |
| Street Address |
10 TIMBERVIEW LN |
| City | RUSSELL |
| State | PA |
| Zip | 16345-4150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi Simpson | Physician Assistant | Warren General Hospital | 10 Timberview Ln, Russell, PA 16345-4150 |
| Amy R Ordiway | Nurse Practitioner | Great Lakes Otolaryngology, PC | 10 Timberview Ln, Russell, PA 16345-4150 |
| Nancy E Oday | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesiology PC | 10 Timberview Ln, Russell, PA 16345-4150 |
| Regan N Olsen | Nurse Practitioner | Warren General Hospital | 10 Timberview Ln, Russell, PA 16345-4150 |
| Simon Levi Amsdell | Orthopedic Surgery | Warren General Hospital | 10 Timberview Ln, Russell, PA 16345-4150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared Charles Varner | Physician Assistant | Family Medicine of Warren Pa PC | 1 Timberview Lane, Russell, PA 16345 |
| Pamela J English | Registered Dietitian Or Nutrition Professional | 716 S Main St, Russell, PA 16345-1154 | |
| John H Susz | Podiatry | John H Susz Dpm, PC | 1 Timberview Ln, Russell, PA 16345-4149 |
| Taylor L Hoff | Podiatry | John H Susz Dpm, PC | 1 Timberview Ln, Russell, PA 16345-4149 |
| City | RUSSELL |
| Zip Code | 16345 |
| Specialty | UROLOGY |
| City + Specialty | RUSSELL + UROLOGY |
Please comment or provide details below to improve the information on Trevor Olsen.
| 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.