MARTIN E. OLSEN M.D. NPI 1003801929

Obstetrics & Gynecology in Johnson City, TN

Individual Male Obstetrics & Gynecology PECOS Enrolled Accepts Medicare Years Experience 35

About MARTIN OLSEN

Martin Olsen is a provider established in Johnson City, Tennessee and his medical specialization is obstetrics & gynecology with more than 35 years of experience. The NPI number of Martin Olsen is 1003801929 and was assigned on September 2005. The practitioner's primary taxonomy code is 207V00000X with license number MD21208 (TN). The provider is registered as an individual and his NPI record was last updated 2 years ago. Martin Olsen is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Johnson City Medical Center.

NPI

1003801929

Provider Name MARTIN E. OLSEN M.D.
Provider Location Address325 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604
Provider Mailing AddressPO BOX 699 MOUNTAIN HOME, TN 37684
GenderMale
NPI Entity TypeIndividual
Medical School NameMEDICAL COLLEGE OF OHIO
Graduation Year1985
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-16-2005
Last Update Date05-23-2018

Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.MD21208
License StateTN
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

MARTIN E. OLSEN M.D.
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-7272
Fax: (423) 439-7235

Get Directions

Mailing Address

MARTIN E. OLSEN M.D.
PO BOX 699
MOUNTAIN HOME, TN
ZIP 37684
Phone: (423) 439-7272
Fax: (423) 439-7235

Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID9133299068
PECOS Enrollment IDI20080604000631
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.
Part B Clinical Laboratory and ImagingYes
Durable Medical EquipmentYes
Home Health Agency (HHA)Yes
Power Mobility DevicesYes

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 affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
JOHNSON CITY MEDICAL CENTER400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Acute Care Hospitals440063

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
1207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsMD21208TNNo

Taxonomy Description:

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104814987 KAREN E SCHETZINA MD
Individual
Pediatrics325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 439-7320
1124011481 ISAAC WILLIAM BROWDER MD
Individual
Surgery325 N STATE OF FRANKLIN RD 3RD FLOOR
JOHNSON CITY, TN 37604
(423) 439-7201
1124012109 ANTHONY KATRAS MD
Individual
Surgery (Vascular Surgery)325 N STATE OF FRANKLIN RD 3RD FLOOR
JOHNSON CITY, TN 37604
(423) 439-7201
1356336242 THERESA F LURA M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 439-8849
1366437253 STEPHEN D LOYD M.D.
Individual
Internal Medicine325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 439-7280
1376536375 BHUVANA GUHA MD
Individual
Internal Medicine325 N STATE OF FRANKLIN RD 1ST FLOOR
JOHNSON CITY, TN 37604
(423) 439-7280
1427045996 D GLENN PENNINGTON MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 439-7201
1467447367 DEBRA Q MILLS M.D.
Individual
Pediatrics325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 439-7320
1487647467 FREDERICK R JELOVSEK MD
Individual
Obstetrics & Gynecology325 N STATE OF FRANKLIN RD 1ST FLOOR
JOHNSON CITY, TN 37604
(423) 439-7272
1487649307 KENNETH E. OLIVE M.D.
Individual
Internal Medicine325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 439-7280
1508854324 LESLI A TAYLOR MD
Individual
Surgery (Pediatric Surgery)325 N STATE OF FRANKLIN RD THIRD FLOOR
JOHNSON CITY, TN 37604
(423) 439-7201
1548253412 DAVID K KALWINSKY MD
Individual
Pediatrics (Pediatric Hematology-Oncology)325 N STATE OF FRANKLIN RD GROUND FLOOR
JOHNSON CITY, TN 37604
(423) 439-7320
1588659403 UCHENNA C NWOSU M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 439-7272
1811980782 RICHARD M JORDAN MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)325 N STATE OF FRANKLIN RD 2ND FLOOR
JOHNSON CITY, TN 37604
(423) 439-7280
1811980907 GAIL H GALLEMORE MD
Individual
Pediatrics325 N STATE OF FRANKLIN RD GROUND FLOOR
JOHNSON CITY, TN 37604
(423) 439-7320
1821081134 RAJANI ANAND M.D.
Individual
Pediatrics (Pediatric Cardiology)325 N STATE OF FRANKLIN RD GROUND FLOOR
JOHNSON CITY, TN 37604
(423) 439-7320
1861485799 BARBARA O KIMBROUGH MD
Individual
Ophthalmology325 N STATE OF FRANKLIN RD 3RD FLOOR
JOHNSON CITY, TN 37604
(423) 439-7201
1902893464 KONSTANTINOS PAPAS MD
Individual
Internal Medicine325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 439-7280
1932192135 DAVID O CHASTAIN MD
Individual
Pediatrics (Adolescent Medicine)325 N STATE OF FRANKLIN RD GROUND FLOOR
JOHNSON CITY, TN 37604
(423) 439-7320
1962495291 PHILIP C. BAGNELL MD
Individual
Pediatrics (Pediatric Gastroenterology)325 N STATE OF FRANKLIN RD GROUND FLOOR
JOHNSON CITY, TN 37604
(423) 439-7320

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.