GORDON S OLSEN, DO PC (NPI# 1922297324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922297324 |
| Entity Type | Organization |
| Organization Name | GORDON S OLSEN, DO PC |
| Practice Address |
1485 S Highway 40 Heber City UT 84032-3522 |
| Mailing Address |
Po Box 796 Heber City UT 84032-0796 |
| Practice Telephone | 4356546360 |
| Practice Fax Number | 4356570294 |
| Mailing Telephone | 4356546360 |
| Mailing Fax Number | 4356540805 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | GORDON S. OLSEN (ORTHOPEDIC SURGEON) |
| Authorized Official Telephone | 4356546360 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | UT | Suppliers | |
| Y | 207X00000X | Orthopaedic Surgery | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BLUE CROSS | 932689281050 | 01 |
| UT | 520192386001 | 05 |
| Street Address |
1485 S HIGHWAY 40 |
| City | HEBER CITY |
| State | UT |
| Zip Code | 84032-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689625097 | William Bradley Hale | Radiology | 1485 S Highway 40, Heber City, UT 84032-3522 | 2006-05-12 |
| 1851764112 | Legacy Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1485 S Highway 40, Heber City, UT 84032-3522 | 2015-11-09 |
| 1023426160 | Kevin Mandala | Physical Therapist | 1485 S Highway 40, Heber City, UT 84032-3522 | 2014-07-31 |
| 1730423153 | Ihc Health Services Inc | Pharmacy | 1485 S Highway 40, Heber City, UT 84032-3522 | 2012-11-26 |
| 1336460708 | Andrew Aaron Nyberg | Emergency Medicine | 1485 S Highway 40, Heber City, UT 84032-3522 | 2010-06-19 |
| 1194965947 | Winston Brent Bokor | Internal Medicine | 1485 S Highway 40, Heber City, UT 84032-3522 | 2009-03-05 |
| 1669628434 | Scott Curtis Hendrickson | Specialist | 1485 S Highway 40, Heber City, UT 84032-3522 | 2008-08-13 |
| 1235300914 | Ihc Health Services Inc | Clinic/Center | 1485 S Highway 40, Heber City, UT 84032-3522 | 2008-03-20 |
| 1053508796 | Judd M Wright | Pharmacist | 1485 S Highway 40, Heber City, UT 84032-3522 | 2007-09-26 |
| 1720166614 | Shannon H Hallowell-schemmer | Nurse Anesthetist, Certified Registered | 1485 S Highway 40, Heber City, UT 84032-3522 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
| 1558807883 | Heber City Dental | Dentist | 345 E Gateway Drive, Suite 200, Heber City, UT 84032 | 2017-01-10 |
| 1326584921 | Deer Creek Childrens Dentistry | Dentist | 575 South 200 East, Heber City, UT 84032 | 2017-01-06 |
| 1194197871 | Ryan Hall | Physician Assistant | 150 N Main St #105, Heber City, UT 84032 | 2015-10-21 |
| 1841686631 | Jamar Romanceles Grayson | Family Medicine | 1485 Us-40 Ste G, Heber City, Ut 84032, Heber City, UT 84032 | 2015-04-08 |
| 1003218512 | Zebadia Pessetto | Physical Therapist | 380 E 1500 S Ste 102, Heber City, UT 84032 | 2014-09-16 |
| 1033471602 | Erik Mcclure | Anesthesiology | 899 E 200 S, Heber City, UT 84032 | 2012-06-11 |
| 1164716122 | Alicia M Power | Marriage & Family Therapist | 55 South 500 North, Heber City, UT 84032 | 2011-06-07 |
| 1073849873 | Ron T Dummar | Chiropractor | 325 West 600 S St. 403, Heber, UT 84032 | 2009-10-29 |
| 1407031255 | Wasatch County Health Department | Public Health or Welfare | 55 East 500 South, Heber City, UT 84032 | 2007-12-28 |
| Find all providers in zip 84032 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HEBER CITY |
| Zip Code | 84032 |
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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.