ALEX BRYAN OLSEN M.D. NPI 1003014044
Surgery - Surgical Critical Care in Tulsa, OK
About ALEX BRYAN OLSEN M.D.
Alex Olsen is a provider established in Tulsa, Oklahoma and his medical specialization is Surgery with a focus in surgical critical care with more than 16 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 2 years ago.
| 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 |
| Enumeration Date | 07-10-2007 |
| Last Update Date | 10-05-2020 |
Alex Olsen is enrolled in PECOS and is eligible to order or refer health care 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 Abrazo West Campus.
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
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1355663238 |
| PECOS Enrollment ID | I20171012001064 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 | |
| ABRAZO WEST CAMPUS | 13677 WEST MCDOWELL ROAD GOODYEAR, AZ 85395 | (623) 882-1970 | Acute Care Hospitals | 30110 |
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 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 4 | 0 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 8 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 8 + 0 + 8 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1003014044 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
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 |
| 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 |
| 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 |
| 1083658447 | DR. MAHMOOD HUSSAIN KHICHI M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 6161 S YALE AVE PICU TULSA, OK 74136 (918) 502-6135 |
| 1659488005 | MS. REBA J. BOOTH LCSW Individual | Social Worker (Clinical) | 6161 S YALE AVE ST. FRANCIS HEALTH SYSTEM TULSA, OK 74136 (918) 695-0684 |
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
Alex Bryan Olsen M.d. is registered as an entity type code: 1. The entity type code describes 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.