LESLIE GULLAHORN OLSON (NPI# 1427032812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427032812 |
| Entity Type | Individual |
| Full Name | LESLIE GULLAHORN OLSON |
| Other Name | LESLIE JOAN GULLAHORN |
| Credential | M.D. |
| Practice Address |
2823 Fresno St Fresno CA 93721-1324 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5594594004 |
| Practice Fax Number | 5594595029 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A76986 | CA | Other Service Providers |
| Y | 207X00000X | Orthopaedic Surgery | A76986 | CA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 24897 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
A76986 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 833146 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Hilborn Rd, Fairfield, CA 945341097 | 7076465599 | 7076465571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356741623 | Leslie Olson | Registered Nurse | 2208 Bedford Dr, Midland, TX 79701-5711 | 2014-08-24 |
| 1689187841 | Leslie K Olson | Case Manager/Care Coordinator | 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 | 2017-11-09 |
| 1700139920 | Leslie Renae Olson | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2012-10-25 |
| 1386916179 | Leslie Olson | Pharmacist | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2012-02-08 |
| Street Address |
2823 FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502449 | Catherine C Thaxter | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2005-10-19 |
| 1558973362 | Craig M Peek | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-21 |
| 1336759513 | James M Nguyen | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-03 |
| 1205445715 | Mckinsey Holthaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-07-30 |
| 1285257063 | Blake Phillip Dreihaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-27 |
| 1639792831 | Surpreme Health | Internal Medicine | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-21 |
| 1588286439 | Haylee Degrood | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-14 |
| 1710509013 | Katherine Marie Pate | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-11 |
| 1154941011 | Kylie Wermund | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-04-21 |
| 1326674292 | Amritpal Singh Padda | Nurse Practitioner | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| 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 |
|---|---|---|---|---|
| 1639463417 | Danilo R Manimtim M D Inc Danilo R Manimtim Pres | Orthopaedic Surgery | 6101 N Fresno St Ste 101, Fresno, CA 93710-8606 | 2011-06-08 |
| 1730483769 | Joseph T Christensen | Orthopaedic Surgery | 7300 N Fresno St Dept Of, Fresno, CA 93720-2941 | 2011-01-05 |
| 1750562336 | Prospice Medical Group Corporation | Orthopaedic Surgery | 4770 N Cedar Ave, Fresno, CA 93726-1065 | 2007-11-23 |
| 1558454546 | Sanagaram S Shantharam | Orthopaedic Surgery | 7065 N Maple Ave, Ste 102, Fresno, CA 93720-8013 | 2006-10-02 |
| 1508962119 | Donald Robert Huene | Orthopaedic Surgery | 201 N Valeria St, Fresno, CA 93701-2123 | 2006-09-15 |
| 1952411423 | Daniel Robert Baxter | Orthopaedic Surgery | 2210 E. Illinois Ave, Suite 401, Fresno, CA 93701 | 2006-08-30 |
| 1467568550 | Don Kevin Lester | Orthopaedic Surgery | 6085 N First St #101, Fresno, CA 93710-5465 | 2006-08-22 |
| 1386757409 | Peter D. Mcgann | Orthopaedic Surgery | 7255 N Cedar Ave Ste 101, Fresno, CA 93720-3831 | 2006-08-15 |
| 1881603256 | Arthroscopic Surgery Associates Corporation | Orthopaedic Surgery | 7255 N Cedar Ave, Suite 102, Fresno, CA 93720-3831 | 2006-08-05 |
| 1558389965 | Charles Huppert Touton | Orthopaedic Surgery | 213 N Valeria St, Fresno, CA 93701-2123 | 2006-07-17 |
| Find all providers in FRESNO | ||||
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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.