JEFFERY JAMES OLSEN (NPI# 1518301977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518301977 |
| Entity Type | Individual |
| Full Name | JEFFERY JAMES OLSEN |
| Credential | DO |
| Practice Address |
300 El Camino Real Sierra Vista AZ 85635-2812 |
| Mailing Address |
8280 W Warm Springs Rd Las Vegas NV 89113-3612 |
| Practice Telephone | 6023347529 |
| Mailing Telephone | 6023347529 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1518301977 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023143567 | Jeffery William Olsen | Chiropractor | 20119 S Prairie Rd E, Bonney Lake, WA 98391-7935 | 2007-02-23 |
| Street Address |
300 EL CAMINO REAL |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546853 | Radiology Specialists of Southern Arizona | Radiology | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2006-05-18 |
| 1144630831 | Sarah Marie Richards | Student in an Organized Health Care Education/Training Program | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2014-05-02 |
| 1063832889 | Omar Waheed | Internal Medicine | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2014-04-19 |
| 1154613644 | Migran Vartanyan | General Practice | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2011-05-03 |
| 1437440690 | Gregory Hollick | Student in an Organized Health Care Education/Training Program | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2011-04-22 |
| 1730496829 | Majid Sameer Asawaeer | Internal Medicine | 300 El Camino Real, Cogent Healthcare Office, Sierra Vista, AZ 85635 | 2010-09-10 |
| 1265747687 | Tahera Islam | Dietitian, Registered | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2010-08-10 |
| 1356579742 | Frank P Kunik Jr. | Student in an Organized Health Care Education/Training Program | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2009-06-24 |
| 1851538805 | Sierra Vista Regional Health Center Inc | General Acute Care Hospital | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2009-01-13 |
| 1750528840 | Marilyn Josephine Harper | Registered Nurse | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326307448 | Jaspreet Singh | General Practice | 289 S Highway 92 Apt 4106, Sierra Vista, AZ 85635-3682 | 2012-05-09 |
| 1134575384 | Robert Babbel | General Practice | 5700 Az-90, Canyon Vista Medical Center, Sierra Vista, AZ 85635 | 2016-05-06 |
| 1154613644 | Migran Vartanyan | General Practice | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475714 | Tri-medical Family Care, LLC | General Practice | 855 E Warner Rd Ste 100, Chandler, AZ 85225-0998 | 2020-10-20 |
| 1699374702 | Valley Spinal Care Pain Relief, LLC | General Practice | 15425 N Greenway Hayden Loop Ste A200, Scottsdale, AZ 85260-1239 | 2020-10-20 |
| 1225645625 | Olympus Health Management LLC | General Practice | 3813 E Oasis Cir, Mesa, AZ 85215-9796 | 2020-09-29 |
| 1952917205 | Physical Medicine of Mesa LLC | General Practice | 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 | 2020-09-22 |
| 1346867488 | Infinity Pain Relief, LLC | General Practice | 8715 W Union Hills Dr Ste 109, Peoria, AZ 85382-3031 | 2020-07-05 |
| 1417570664 | Compass Medical Center Heber, Pllc | General Practice | 2931 Highway 260, Overgaard, AZ 85933 | 2020-05-22 |
| 1700408689 | Cottonwood Physician Group | General Practice | 1760 E Villa Dr Ste E&f, Cottonwood, AZ 86326-4679 | 2020-05-13 |
| 1457973406 | Pima County Physician Group | General Practice | 5155 E Farness Dr Ste 111b, Tucson, AZ 85712-2158 | 2020-05-13 |
| 1124649637 | Peoria Physician Group | General Practice | 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 | 2020-05-06 |
| 1366080475 | Madison Taylor Phillips | General Practice | 15741 Bering St, Ehrenberg, AZ 85334-0010 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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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.