DR. MATTHEW G. OLLERTON (NPI# 1518959733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518959733 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW G. OLLERTON |
| Credential | DPM |
| Practice Address |
5 E 400 N Springville UT 84663-1347 |
| Mailing Address |
Po Box 595 Springville UT 84663-0595 |
| Practice Telephone | 8014913668 |
| Practice Fax Number | 8014896378 |
| Mailing Telephone | 8014913668 |
| Mailing Fax Number | 8014896378 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
370042-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE LICENSE | 370042-0501 | 01 |
| UT | DEA # | BO6211546 | 01 |
| UT | FEDERAL DME # | 4321250001 | 01 |
| UT | STATE CONTROLLED SUBSTANC | 370042-8907 | 01 |
| AZ | 909244 | 05 |
| Street Address |
5 E 400 N |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209668 | Katelyn Siano | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2020-06-16 |
| 1609394758 | Emily G Dunn | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2017-09-08 |
| 1609262492 | Russell Beckstead | Family Medicine | 5 E 400 N, Springville, UT 84663 | 2015-04-08 |
| 1568866168 | Kathryn Conover Morrill | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2014-10-10 |
| 1972830768 | Jessica Alyse Parker | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2009-11-16 |
| 1831363225 | Brayden Mcbride | Family Medicine | 5 E 400 N, Springville, UT 84663-1347 | 2008-04-16 |
| 1063605475 | Michael S Mclay | Family Medicine | 5 E 400 N, Springville, UT 84663-1347 | 2007-08-20 |
| 1275695447 | Canyon View Medical Group LLC | Durable Medical Equipment & Medical Supplies | 5 E 400 N, Springville, UT 84663 | 2006-12-14 |
| 1386702009 | Canyon View Medical Group LLC | Family Medicine | 5 E 400 N, Springville, UT 84663 | 2006-12-05 |
| 1831137140 | Marc A Penrod | Family Medicine | 5 E 400 N, Springville, UT 84663-1347 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721303 | Stride Foot and Ankle Pllc | Podiatrist | 1365 W 1250 S Ste 101, Orem, UT 84058-2303 | 2020-08-18 |
| 1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1447773122 | Apex Foot and Ankle Institute | Podiatrist | 882 N Main St # 2, Richfield, UT 84701-1840 | 2017-07-25 |
| 1902328644 | Weston Charles Packard | Podiatrist | 1561 W 7000 S Ste 201, West Jordan, UT 84084-3556 | 2017-07-14 |
| 1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
| 1811341621 | Victor Kent Myers | Podiatrist | 754 S Main St Ste 3, St George, UT 84770-5505 | 2016-04-18 |
| 1598119463 | Landon Cameron | Podiatrist | 1490 E Foremaster Dr Ste 250, St George, UT 84790-4501 | 2016-04-18 |
| 1417338161 | Adam Bowen Wood | Podiatrist | 1248 E 90 N Ste 101, American Fork, UT 84003-2954 | 2015-06-17 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
Please comment or provide details below to improve the information on DR. MATTHEW G. OLLERTON.
| 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.