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DR. ANGELA SUZZANNE OLOMON DO FACN NPI 1487618062


NPI Information

NPI: 1487618062
Provider Name: DR. ANGELA SUZZANNE OLOMON, DO, FACN
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

PECOS Registration: Yes

Address:
714 N POMME DE TERRE AVE
BOLIVAR, MO
ZIP 65613
Phone: (417) 326-7272
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DR. Angela Suzzanne Olomon, DO, FACN is a psychiatry psychiatry neurology in Bolivar, MO with 38 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Angela Suzzanne Olomon, DO, FACN NPI is 1487618062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:1986

The provider's business location address is:

714 N POMME DE TERRE AVE
BOLIVAR, MO
ZIP 65613-241
Phone: (417) 326-7272
Fax: (417) 326-2193

The NPI 1487618062 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 4/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryR1J41MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00230684OTHERMISSOURIRAILROAD MC ID #
2242734036MEDICAIDMISSOURI
3MA3677001OTHERMISSOURIMEDICARE PTAN
4242734010MEDICAIDMISSOURI
5E16993MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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