STEPHANIE L OLSEN (NPI# 1396730404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396730404 |
| Entity Type | Individual |
| Full Name | STEPHANIE L OLSEN |
| Credential | MD |
| Practice Address |
444 W Bourne Cir Ste 200 Farmington UT 84025 |
| Mailing Address |
444 W Bourne Cir Ste 200 Farmington UT 84025-3657 |
| Practice Telephone | 8017760174 |
| Practice Fax Number | 8018253904 |
| Mailing Telephone | 8013973000 |
| Mailing Fax Number | 8013970455 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
175506-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | GROUP NPI | 1477643179 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5682 S 3500 W Ste 2a, Roy, UT 840679108 | 8017760174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912542051 | Stephanie A Olsen | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2019-11-13 |
| 1952881823 | Stephanie Lynne Olsen | Occupational Therapist | 316 General Cavazos Blvd, Kingsville, TX 78363-7245 | 2018-08-20 |
| 1043642374 | Stephanie Olsen | Dental Hygienist | 2864 S Circle Dr, Ste 450, Colorado Springs, CO 80906 | 2013-08-09 |
| 1114261351 | Stephanie Olsen | Pharmacist | 15601 Crossbay Blvd, Howard Beach, NY 11414-2746 | 2012-11-10 |
| 1689828709 | Stephanie Marie Olsen | Counselor | 68100 Ramon Rd, B-10, Cathedral City, CA 92234-3387 | 2008-11-17 |
| Street Address |
444 W BOURNE CIR STE 200 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023328 | Scott H West | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2005-09-14 |
| 1801247333 | Lorraine Davis England | Nurse Practitioner | 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 | 2016-06-27 |
| 1639515869 | Daniel Taylor Fronk | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 | 2013-05-15 |
| 1457650442 | Christopher Y Kim | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2011-03-16 |
| 1922290915 | Sandeep Talwar | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2007-08-14 |
| 1669677068 | Chad B Mcbride | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2007-06-18 |
| 1003031378 | Evan R Law | Physician Assistant | 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 | 2007-04-13 |
| 1396869681 | Roja R Mulamalla | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2007-03-19 |
| 1326130758 | Bhavananda T Reddy | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2006-09-30 |
| 1659381085 | Karri Lynn Hoyt | Physician Assistant | 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881863009 | The Heart Health Center, PC | Internal Medicine | 620 Maple Valley Dr, Farmington, MO 63640-1976 | 2008-02-21 |
| 1598942468 | Alix Junior Tercius | Internal Medicine | University of Connecticut Health Center, 260 Farmington Ave, Farmington, CT 06032 | 2008-01-23 |
| 1477643179 | Utah Cardiology PC | Internal Medicine | 444 W Bourne Circle, Suite 200, Farmington, UT 84025 | 2006-10-13 |
| 1225023328 | Scott H West | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2005-09-14 |
| 1952786055 | Hhc Health Care, LLC | Internal Medicine | 1151 Hazel Lane, Farmington, MO 63640 | 2015-07-30 |
| 1639515869 | Daniel Taylor Fronk | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 | 2013-05-15 |
| 1053602672 | Mariam Shakir Azeem | Internal Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2011-04-30 |
| 1457650442 | Christopher Y Kim | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2011-03-16 |
| 1427216860 | Juyong Lee | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-4038 | 2008-05-31 |
| 1417128372 | Cardiology Diagnostics, Ltd. | Internal Medicine | 1101 Weber Rd, Suite 105, Farmington, MO 63640-3326 | 2008-03-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on STEPHANIE L OLSEN.
| 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.