| Robert Harold Olson, MD | |
|
3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | |
| (303) 467-1400 | |
| (303) 467-1467 |
| Full Name | Robert Harold Olson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3455 Lutheran Pkwy, Wheat Ridge, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851329684 | NPI | - | NPPES |
| 01188549 | Medicaid | CO | |
| OLB3518 | Other | CO | ANTHEM BCBS OF CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 18854 (Colorado) | Primary |
| Entity Name | Colorado Trauma Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831135391 PECOS PAC ID: 6800895947 Enrollment ID: O20061219000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Harold Olson, MD 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 Ph: (303) 467-1400 | Robert Harold Olson, MD 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 Ph: (303) 467-1400 |
Richard A Mouchantat, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033 Phone: 303-232-8585 Fax: 303-232-3304 | |
Jon M Burch, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3455 Lutheran Parkway, #290, Wheat Ridge, CO 80033 Phone: 303-467-1467 | |
Edward James Pulido, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033 Phone: 303-467-1400 Fax: 303-467-1467 | |
Brian Mikkelson, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-4500 | |
Nelson Mozia, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8550 W 38th Ave, 205, Wheat Ridge, CO 80033 Phone: 303-425-2797 Fax: 303-467-9510 | |
Robert Madayag, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033 Phone: 303-467-1400 Fax: 303-467-1467 | |
Charles William Mains, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033 Phone: 303-467-1400 Fax: 303-467-1467 |