Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathanael Olson

Individual provider Orthopaedic Surgery Physician · NPI 1033564760

Nathanael Olson is an Orthopedic Surgery in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Signature Medical Group Inc, a 40-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

12639 Old Tesson Rd
Saint Louis, MO 63128-2711
Phone: (314) 849-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Hand Surgery Physician (primary) Taxonomy 207XS0106X · Licence 2022014038 (MO)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2022014038 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033564760
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2016
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesHAND SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Signature Medical Group Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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