MEDICARE: KAREN N OLNESS MD

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	2080P0006X	Developmental - Behavioral Pediatrics Physician	35-055191	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000221381	OTHER	OH	UNISON
2	662920	OTHER	OH	BCMH
3	000000028302	OTHER	OH	ANTHEM
4	000000526113	OTHER	OH	ANTHEM
5	641931	OTHER	OH	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225056674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN N OLNESS MD

Provider Business Mailing Address
First Line	:	3605 WARRENSVILLE CENTER RD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44122-5203
Country	:	US
Telephone Number	:	216-286-6299
Fax Number	:	216-286-6341

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-7700
Fax Number	:	216-286-6341

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	11/14/2007

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