MEDICARE: STEPHEN A. OLSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	04-28897	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487679759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN A. OLSON M.D.

Provider Business Mailing Address
First Line	:	4013 N. RIDGE RD. STE 210
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67205
Country	:	US
Telephone Number	:	316-945-7309
Fax Number	:	316-945-9131

Provider Business Practice Location Address
First Line	:	4013 N RIDGE RD
Second Line	:	STE. 210
City	:	WICHITA
State	:	KS
Zip	:	67205-8857
Country	:	US
Telephone Number	:	316-945-7309
Fax Number	:	316-945-9131

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/11/2015

Similar Medicare Providers

1619710803 — ALYSSA VONAGHER LMSW
Practice Location Address:

4013 N RIDGE RD
WICHITA, KS
67205-8857

Practice Phone: 316-945-5200
Practice Fax: 316-945-5549

1922007020 — MRS. TINA M SHOLL ARNP
Practice Location Address:

4013 N RIDGE RD , STE 110
WICHITA, KS
67205-8857

Practice Phone: 316-722-1333
Practice Fax: 316-722-3058

1275560336 — ERICA C HICKERSON PA-C
Practice Location Address:

4013 N RIDGE RD , SUITE 110
WICHITA, KS
67205-8857

Practice Phone: 316-722-1333
Practice Fax: 316-722-3058

1619235819 — MS. JEANNE LYNN PEARSON APRN
Practice Location Address:

4013 N RIDGE RD , SUITE 110
WICHITA, KS
67205-8857

Practice Phone: 316-722-1333
Practice Fax: 316-722-3058

1376249748 — MRS. SARA ANN KNIGHT LCSW
Practice Location Address:

4013 N RIDGE RD
WICHITA, KS
67205-8857

Practice Phone: 316-201-6294
Practice Fax:

1710841952 — MASON LANE CLOUD
Practice Location Address:

4013 N RIDGE RD
WICHITA, KS
67205-8857

Practice Phone: 316-706-3709
Practice Fax:

Directions to “ STEPHEN A. OLSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.