CLINTON D. OLSEN


Address: 280 W River Park Dr, Suite 200, Provo, UT 84604-5793
Phone: 8012234860

CLINTON D. OLSEN (NPI# 1225387491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225387491
Entity Type Individual
Full Name CLINTON D. OLSEN
Credential DNP, NP-C
Practice Address 280 W River Park Dr
Suite 200
Provo
UT 84604-5793
Mailing Address 280 River Park Dr
Suite 200
Provo
UT 84604-5764
Practice Telephone 8012234860
Practice Fax Number 8013718993
Mailing Telephone 8012234860
Mailing Fax Number 8013718993
Enumeration Date 2012-09-04
Last Update Date 2012-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
66883098900 UT Allopathic & Osteopathic Physicians
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
66883094405 UT Allopathic & Osteopathic Physicians

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1740465616 Clinton Olsen Dentist 1161 N Euclid St, Anaheim, CA 92801-1938 2008-01-09
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Office Location

Street Address 280 W RIVER PARK DR
SUITE 200
City PROVO
State UT
Zip Code 84604-5793

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NPI Name Taxonomy Address Enumeration
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1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033597257 Ashley Renee Donaldson Anesthesiology Spinal Interventions, 280 W River Park Drive Suite 200, Provo, UT 84604 2015-05-07
1770558090 Bryan C Hoelzer Anesthesiology 320 River Park Dr Ste 255, Provo, UT 84604 2006-02-21
1679726772 Eric David Freeman Anesthesiology 320 River Park Dr, Suite 255, Provo, UT 84604-6060 2008-11-03
1053336917 Spinal Interventions, Pllc Anesthesiology 280 West River Park Dr, Ste 200, Provo, UT 84604-5764 2006-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952865412 Avail Medical LLC Anesthesiology 5742 S 1475 E Ste 200, South Ogden, UT 84403-4856 2019-01-29
1609204338 Interventional Spine & Pain Management Anesthesiology 5801 S Fashion Blvd Ste 180, Murray, UT 84107-8135 2013-10-15
1134429384 Intermountain Medical Monitoring LLC Anesthesiology 1306 Deer Crest, Fruit Heights, UT 84037 2010-10-21
1861622219 Jeremy Joyal Anesthesiology 11760 S 700 E Ste 112, Draper, UT 84020-6605 2009-07-20
1205058294 Joseph Courtney Empey Anesthesiology 617 E Riverside Dr Ste 301, St George, UT 84790-8722 2007-05-02
1962439570 Gordon Petty George, Md, PC Anesthesiology 800 N 700 W, Ste 340a, Orem, UT 84057 2006-06-27
1164421053 Dale Gerald Stott Anesthesiology 301 N 200 E, Suite 2a, St George, UT 84770-3010 2005-07-21
1437627080 Advanced Spine and Pain Pllc Anesthesiology 11760 S 700 E Ste 112, Draper, UT 84020-6605 2018-11-12
1508216680 Rayhan A. Tariq Anesthesiology 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132-0002 2016-06-20
1700234499 Southwest Spine and Pain Care Specialists LLC Anesthesiology 1303 N Main St, Cedar City, UT 84721-9746 2016-06-02
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Competitor

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City PROVO
Zip Code 84604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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