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Deactivated NPI 1477898815 Deactivated / Inactive NPI Male Practitioner

Dr. Ralph Norman Olsen , MD

Pediatrics • West Bend, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ralph Olsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 11, 2012
NPI Deactivation Date August 30, 2023
Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Olsen, MD was a registered Pediatrics practicing in West Bend, WI. Throughout an active medical career spanning 11 years, Dr. Olsen provided care at the practice location at 6267 RIESCH ROAD until profile deactivation on 2023-08-30.

Practice Location & Contact Primary Location

Practice Address

6267 Riesch Road

West Bend, WI 53095

Telephone 2623380278

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in West Bend, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
11 Specialists

Practicing in West Bend, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 12198-20

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 30, 2023

Record deactivated on August 30, 2023

NPI Profile Active December 11, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 11, 2012

Registered at 6267 RIESCH ROAD, WEST BEND, WI 53095 (Tel: 2623380278)

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Updated Business Mailing Address December 11, 2012

Registered at 6267 RIESCH ROAD, WEST BEND, WI 53095 (Tel: 2623380278)

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Provider Name / Credentials Updated December 11, 2012

Recorded as RALPH OLSEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2012

Pediatrics (License #12198-20 in WI)

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Initial NPI Registration & Enumeration December 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477898815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2012
Last Update: December 11, 2012
Deactivation Date: August 30, 2023

Mailing Address

6267 Riesch Road

West Bend, WI 53095

Phone: 2623380278

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.