MR. GORDON S OLSEN (NPI# 1235237744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235237744 |
| Entity Type | Individual |
| Full Name | MR. GORDON S OLSEN |
| Other Name | GORDON S OLSEN |
| Credential | DOPC |
| Practice Address |
210 W 300 N Roosevelt UT 84066-2336 |
| Practice Telephone | 4357224691 |
| Practice Fax Number | 4357229291 |
| Mailing Telephone | 4357257448 |
| Mailing Fax Number | 4357229291 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2689281204 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 117765600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 170 Arrowhead Drive, Evanston, WY 82930 | 3077890096 | 3077890860 |
| Street Address |
210 W 300 N |
| City | ROOSEVELT |
| State | UT |
| Zip Code | 84066-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588625479 | Kent E Smith | Internal Medicine | 210 W 300 N, 75-3, Roosevelt, UT 84066-2336 | 2006-03-30 |
| 1578030037 | Vail Shanae Batty | Registered Nurse | 210 W 300 N, Roosevelt, UT 84066-2336 | 2018-11-01 |
| 1659852150 | Albert Simon Stone | Physician Assistant | 210 W 300 N, Roosevelt, UT 84066-2336 | 2018-08-23 |
| 1285188912 | Gregory Garner | Physical Therapist | 210 W 300 N, Roosevelt, UT 84066-2336 | 2016-08-11 |
| 1225406077 | Casey Curtis Carter | Physician Assistant | 210 W 300 N, Roosevelt, UT 84066-2336 | 2015-09-10 |
| 1689954505 | Raeleen Orme | Nurse Practitioner | 210 W 300 N, #75-3, Roosevelt, UT 84066-2336 | 2011-08-23 |
| 1639367337 | Brett C Larsen | Physician Assistant | 210 W 300 N, 75-3, Roosevelt, UT 84066-2336 | 2007-10-09 |
| 1396943825 | Brian Kowallis Gardner | Podiatrist | 210 W 300 N, Roosevelt, UT 84066-2336 | 2007-07-05 |
| 1437202280 | Ben Douglas Williams | Obstetrics & Gynecology | 210 W 300 N, Roosevelt, UT 84066-2336 | 2007-01-18 |
| 1245397637 | Carol F Rasmussen | Nurse Practitioner | 210 W 300 N, Roosevelt, UT 84066-2336 | 2007-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075315 | Annemarie Rousseau | Registered Nurse | 250 West 300 North, Roosevelt, UT 84066 | 2017-07-12 |
| 1780036772 | Drew Gilley | Dentist | 375 E Lagoon St, Roosevelt, Ut 84066, Roosevelt, UT 84066 | 2016-07-01 |
| 1952758039 | Amanda Adams | Massage Therapist | 1151 East Hwy 40, Ballard, UT 84066 | 2016-05-19 |
| 1447624325 | Gregory George Page | Dentist | 209 West 200 North 71-2, Roosevelt, UT 84066 | 2015-11-16 |
| 1659785772 | Becky Ann Birch | Nurse Practitioner | 200 West 350 North, Ste 103, Roosevelt, UT 84066 | 2014-06-17 |
| 1760724280 | Novo Ranch LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3549 W 1000 North, Roosevelt, UT 84066 | 2013-03-22 |
| 1508110040 | Uintah Basin Spine and Disc Center, PC | Rehabilitation Unit | 1151 East Highway 40, Roosevelt, UT 84066 | 2012-11-06 |
| 1184918682 | Alvaro Beltran | Dentist | Ave. Lopez Mateos 171-4, Nogales, SONORA 84066 | 2011-06-02 |
| 1255638367 | Cosme Cantu | Dentist | Blvd. El Greco #45 Int. J-14, Nogales, SONORA 84066 | 2011-02-25 |
| 1740482009 | Northeastern Utah Medical Group | Durable Medical Equipment & Medical Supplies | 210 W 300 N 75 3, Roosevelt, UT 84066 | 2007-05-31 |
| Find all providers in zip 84066 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757166 | Mountain West Spine and Orthopedics, LLC | Orthopaedic Surgery | 279 E 5900 S Ste 100, Murray, UT 84107-5422 | 2019-12-19 |
| 1639557168 | Hansen Orthopedics, P.C. | Orthopaedic Surgery | 1115 N 455 W Unit 8, Midway, UT 84049-6496 | 2015-05-17 |
| 1548651540 | Kevin Larkin | Orthopaedic Surgery | 3038 Polk Ave, Ogden, UT 84403-0589 | 2015-02-11 |
| 1083950794 | David Ross Mcnaught | Orthopaedic Surgery | 301 S 1200 E, Unit 42, Saint George, UT 84790-5538 | 2012-12-27 |
| 1033473574 | Enrique Feria-arias | Orthopaedic Surgery | 2356 N 400 E Ste 102, Tooele, UT 84074-3409 | 2012-06-29 |
| 1144582354 | Daniel Bradley Gibbs | Orthopaedic Surgery | 6360 S 3000 E # Sre210, Salt Lake City, UT 84121 | 2012-06-13 |
| 1437418217 | John Ryan Taylor | Orthopaedic Surgery | 700 W 800 N Ste 100, Orem, UT 84057-6301 | 2012-05-14 |
| 1821318494 | Mark D Hatch | Orthopaedic Surgery | 900 Round Valley Dr Ste 100, Park City, UT 84060-7552 | 2010-06-07 |
| 1003138785 | Mark Carl Thomas | Orthopaedic Surgery | 11611 Eureka Way, South Jordan, UT 84095-7916 | 2010-02-22 |
| 1326370537 | Marlan J Haslam | Orthopaedic Surgery | 1427 North Cisco Road, Laketown, UT 84038 | 2010-02-12 |
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| 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.