OLYMPUS HEALTH MANAGEMENT LLC (NPI# 1225645625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225645625 |
| Entity Type | Organization |
| Organization Name | OLYMPUS HEALTH MANAGEMENT LLC |
| Practice Address |
3813 E Oasis Cir Mesa AZ 85215-9796 |
| Mailing Address |
700 N Carr Rd Unit 247 Plainfield IN 46168-2906 |
| Practice Telephone | 4802420055 |
| Mailing Telephone | 3176541649 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | DR. JUSTIN R JOHNSEN (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 8016995945 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
3813 E OASIS CIR |
| City | MESA |
| State | AZ |
| Zip Code | 85215-9796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093355356 | Kristen Eldridge | Counselor | 2929 N. Power Rd. Suite 101, Mesa, AZ 85215 | 2020-01-14 |
| 1063062149 | Makenna Francis | Nurse Practitioner | 2730 S. Val Vista Dr, 146, Mesa, AZ 85215 | 2019-09-19 |
| 1487200481 | Royalty Home Care Solutions, LLC | Assisted Living Facility | 6551 E. Menlo St, Mesa, AZ 85215 | 2019-08-15 |
| 1083170641 | Mylena Dashaun Smith | Psychologist | 2812 N. Norwalk St Bldg. 14, Ste 127 & 128, Mesa, AZ 85215 | 2019-02-19 |
| 1487134789 | Arizona Dental Professionals, P.C. | Dentist | 3218 N Recker Rd, Mesa, AZ 85215 | 2018-08-16 |
| 1619463494 | Compassion Care Home, LLC | Private Vehicle | 2863 N 64th Street, Mesa, AZ 85215 | 2018-07-05 |
| 1407293491 | Courtney D Warren | Physical Therapist | 2837 N Power Rd Ste 109, Mesa, AZ 85215 | 2013-05-30 |
| 1104182906 | Kirstin Anna Correia | Naturopath | 3405 N Higley Rd, Mesa, AZ 85215 | 2012-04-05 |
| 1154609683 | Cristy Lee Hoge | Pharmacist | 2151 N. Power Rd., Mesa, AZ 85215 | 2011-08-02 |
| 1699067546 | Fredrick G. Johnson | Registered Nurse | 4320 E Presidio St, #101, Mesa, AZ 85215 | 2011-05-11 |
| Find all providers in zip 85215 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917205 | Physical Medicine of Mesa LLC | General Practice | 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 | 2020-09-22 |
| 1831757152 | Jamie Todd | General Practice | 1140 N Higley Rd, Mesa, AZ 85205-5386 | 2019-06-01 |
| 1760969190 | Provider Provider PC | General Practice | 841 W 11th St, Mesa, AZ 85201-3109 | 2018-07-28 |
| 1538533799 | Feliz Care Centers Pllc | General Practice | 1345 E Main St Ste 100, Mesa, AZ 85203-8950 | 2015-11-25 |
| 1457755514 | Svelte LLC | General Practice | 6344 E Broadway Rd Ste 101, Mesa, AZ 85206-1634 | 2014-10-20 |
| 1336583186 | Chelsea Alexandra Roberts | General Practice | 4111 E Valley Auto Dr Ste 209, Mesa, AZ 85206-4609 | 2013-04-23 |
| 1194001198 | Keith Krein | General Practice | 3227 N 88th St, Mesa, AZ 85207-9782 | 2011-10-24 |
| 1396934402 | James S Cerneka Do Pllc | General Practice | 500 W 10th Pl Ste 120, Mesa, AZ 85201-3218 | 2007-10-15 |
| 1730390691 | Quirino B Valeros | General Practice | 2104 E Enid Ave, Mesa, AZ 85204-4512 | 2007-05-24 |
| 1265408975 | David Joseph Bickler | General Practice | 6553 E Baywood Ave Suite 103, Mesa, AZ 85206 | 2006-02-23 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on OLYMPUS HEALTH MANAGEMENT LLC.
| 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.