Olympus Health Management LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OLYMPUS HEALTH MANAGEMENT LLC

Practice address

3813 E Oasis Cir
Mesa, AZ 85215-9796

Phone

(480) 242-0055

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Justin R Johnsen, MDNPI 1679582282

Title

Owner/Physician

Phone

(801) 699-5945

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Rodney Johnsen, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Salt Lake City, UT
  • NPI 1679582282
  NPD Authorized official

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1225645625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N CARR RD UNIT 247",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682906",
            "telephone_number": "317-654-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 E OASIS CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852159796",
            "telephone_number": "480-242-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS HEALTH MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "801-699-5945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmackey@olympushealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3813 E Oasis Cir",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852159796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Malgorzata Olson
• Demarie M Olu-Williams, D.O
• Adeyemi Olubambo
• Olusegun Olutedo
• Olve Pediatric Therapy PLLC
• Shahd Omer
• Summer Omerza, RBT
• On Broadway Dentistry
• On the Go Neurology
• On the Mend on the Move Physical Therapy

• General Practice Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.