Mt Olympus Anesthesia

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MT OLYMPUS ANESTHESIA

Practice address

4035 S Splendor Cir
Salt Lake City, UT 84124-2177

Phone

(801) 842-7799

NPI assigned

Jul 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth Stratton, CRNA

Title

Owner

Phone

(801) 842-7799

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1083223523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 S SPLENDOR CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242177",
            "telephone_number": "801-842-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 S SPLENDOR CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242177",
            "telephone_number": "801-842-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT OLYMPUS ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-842-7799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiese Mpongo, MD
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• Mt. Olympus Clinic of Chiropractic Corporation
• Mt. Olympus Obstetrics and Gynecology
• Heidi Mathie Mucha, PH.D
• Aruni Sharmaine Ayanthi Mudalige, APRN
• Alana Mudrow

• Certified Registered Nurse Anesthetist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.