Physician Compare National (NPI:1659357580)

HEALTHCARE PROVIDER: JAMES H OLSON MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1659357580
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890976013
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110222000410
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OLSON
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6630 S MCCARRAN BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A4
	Group Practice or individual's line 2 address
City	RENO
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	895096136
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT MARY'S REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	290001
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RENOWN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y