ALEX BRYAN OLSEN M.D. NPI 1003014044
Surgery (Surgical Critical Care) in Tulsa, OK
About ALEX OLSEN
Alex Olsen is a provider established in Tulsa, Oklahoma and his medical specialization is surgery (surgical critical care) with more than 15 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2007. The NPI number of Alex Olsen is 1003014044 and was assigned on July 2007. The practitioner's primary taxonomy code is 2086S0102X with license number 35592 (OK). The provider is registered as an individual and his NPI record was last updated one year ago.
Alex Olsen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Alex Olsen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Saint Francis Hospital, Inc and Saint Francis Hospital Muskogee.
| NPI | 1003014044 |
| Provider Name | ALEX BRYAN OLSEN M.D. |
| Provider Location Address | 6161 S YALE AVE TULSA, OK 74136 |
| Provider Mailing Address | 6600 S YALE AVE STE 1400 TULSA, OK 74136 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 07-10-2007 |
| Last Update Date | 10-05-2020 |
Primary Taxonomy
| Taxonomy Code | 2086S0102X |
| Classification | Surgery |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Surgical Critical Care |
| License No. | 35592 |
| License State | OK |
| Taxonomy Description | A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Business Address
ALEX BRYAN OLSEN M.D.
6161 S YALE AVE
TULSA, OK
ZIP 74136
Phone: (918) 494-1805
Fax: (918) 494-4573
Mailing Address
ALEX BRYAN OLSEN M.D.
6600 S YALE AVE STE 1400
TULSA, OK
ZIP 74136
Phone: (888) 247-0125
Fax: (918) 502-8001
Secondary Locations
Phoenix, AZ 85013
(602) 406-6540
Medicare Participation
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alex Olsen is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| SAINT FRANCIS HOSPITAL, INC | 6161 SOUTH YALE TULSA, OK 74136 | (918) 494-2200 | Acute Care Hospitals | 370091 | |
| SAINT FRANCIS HOSPITAL MUSKOGEE | 300 ROCKEFELLER DRIVE MUSKOGEE, OK 74401 | (918) 682-5501 | Acute Care Hospitals | 370025 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | R70161 | AZ | No | |
Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 200910850A | MEDICAID (05) | OK |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427053859 | DR. JOBST GEBHARD BLUM MD Individual | Anesthesiology | 6161 S YALE AVE TULSA, OK 74136 (918) 494-1980 |
| 1245227123 | DR. ETHAN WARLICK M.D. Individual | Pediatrics | 6161 S YALE AVE CHUCC TULSA, OK 74136 (918) 494-2553 |
| 1073500971 | DR. CARL ELLISON M.D. Individual | Pediatrics | 6161 S YALE AVE CHUCC TULSA, OK 74136 (918) 494-2553 |
| 1285622464 | DR. MICHELLE C BROTHERTON MD Individual | Obstetrics & Gynecology | 6161 S YALE AVE TULSA, OK 74136 (918) 494-2226 |
| 1740265347 | SAINT FRANCIS OUTREACH SERVICES LLC Organization | Clinical Medical Laboratory | 6161 S YALE AVE TULSA, OK 74136 (918) 494-2200 |
| 1689659823 | ROGER PHIL BARTON M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 6161 S YALE AVE TULSA, OK 74136 (918) 494-5491 |
| 1730164849 | SAINT FRANCIS HOSPITAL INC. Organization | Skilled Nursing Facility | 6161 S YALE AVE TULSA, OK 74136 (918) 494-2200 |
| 1255317871 | KIMBERLY JO BENNETT D.O. Individual | Internal Medicine | 6161 S YALE AVE TULSA, OK 74136 (918) 494-5346 |
| 1184601619 | JOHNNY M FOWLER M.D. Individual | Internal Medicine | 6161 S YALE AVE TULSA, OK 74136 (918) 494-5346 |
| 1922075241 | JAMES DAMON SMITH D.O. Individual | Internal Medicine | 6161 S YALE AVE TULSA, OK 74136 (918) 494-5346 |
| 1548222375 | DR. DAVID BEYNON THOMAS III M.D. Individual | Surgery | 6161 S YALE AVE TULSA, OK 74136 (918) 494-8467 |
| 1609833615 | EMERGENCY CARE INC. Organization | Clinic/Center (Medical Specialty) | 6161 S YALE AVE ER DEPT. TULSA, OK 74136 (918) 494-1817 |
| 1487611919 | LORI JESSICA WHELAN M.D. Individual | Emergency Medicine (Emergency Medical Services) | 6161 S YALE AVE ER DEPT TULSA, OK 74136 (918) 494-1817 |
| 1619934221 | LUSTER I. JACOBS MD Individual | Emergency Medicine | 6161 S YALE AVE ER DEPT TULSA, OK 74136 (918) 494-6528 |
| 1255399317 | JAMES J. WOLFE MD Individual | Emergency Medicine | 6161 S YALE AVE ER DEPT TULSA, OK 74136 (918) 494-1817 |
| 1710945878 | HOWARD ROEMER MD Individual | Emergency Medicine | 6161 S YALE AVE ER DEPT TULSA, OK 74136 (918) 494-6528 |
| 1174581193 | MARY H. THOMPSON MD Individual | Emergency Medicine | 6161 S YALE AVE ER DEPT TULSA, OK 74136 (918) 494-6528 |
| 1821056672 | FRANK M. THOMAS PA Individual | Physician Assistant | 6161 S YALE AVE C/O SAINT FRANCIS HOSPITAL TULSA, OK 74136 (918) 494-6161 |
| 1811943517 | KATHERINE L MCGRANAHAN C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 6161 S YALE AVE TULSA, OK 74136 (918) 494-1980 |
| 1972542132 | MS. KATHRYN ANN PERRY R.N. Individual | Clinical Nurse Specialist (Pediatrics) | 6161 S YALE AVE TULSA, OK 74136 (918) 494-2200 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.