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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

THEODORE OLENICK DO
NPI 1396447025
Pediatrics in Mountain Home Afb, ID

Active since March 20, 2023
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648(208) 828-6806 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, May 5, 2023, Mar 22, 2023 (3 updates tracked since 2023).

About Theodore Olenick Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE OLENICK DO (NPI 1396447025) is an individual pediatrics provider in Mountain Home Afb, Idaho, licensed in Idaho (8871750) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1396447025
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHEODORE OLENICKCredential: DO
Location Address90 HOPE DR BLDG 6000Mountain Home Afb, ID 83648-1062
Mailing Address90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062
Phone(208) 828-6806
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1396447025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · 8871750
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON LEE BRANTLEY PHARMD
Pharmacist
90 HOPE DR BLDG 6000, 366 MDSS/SGSAP
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7480
SYLVIA LASHAWN TOOMER DENTAL HYGIENIST
Dental Hygienist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7300
DR. JUDY ANN HAFNER PSYD
Psychologist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7580
MR. JOSEPH PAUL KEDDIE IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Elmore County (912) 592-6614
MR. OMAR D HERNANDEZ SOLANO IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000, 366 AMDS/SGPF
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7401
JOE CABALHIN DITTMAN IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7313
MR. JEFFRIE NEIL MAYBERRY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7100
KRISTEN ANNE LEWIS
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 728-7401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Olenick's NPI number?

The NPI number for Theodore Olenick is 1396447025. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Theodore Olenick located?

Theodore Olenick practices at 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648. The listed phone number is (208) 828-6806.

What is Theodore Olenick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Theodore Olenick was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.