Individual provider Active NPI

Morry A Olenick, MD

  • Plastic Surgery Physician
  • Thornton, CO
National Provider Identifier
1265596308
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
33789 Issued in CO
Practice address
8515 Pearl St Ste 350
Thornton, CO 80229-4832
Phone
(303) 287-7007
Fax
(303) 287-2230
NPI assigned
Dec 21, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 33789 CO Primary

Addresses

Primary practice location

8515 Pearl St Ste 350
Thornton, CO 80229-4832

Mailing address

8515 Pearl St Ste 350
Thornton, CO 80229-4832
Phone (303) 287-7007

Other identifiers 1

IdentifierTypeStateIssuer
01337898MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060421000070 CO Practitioner - Plastic and Reconstructive Surgery 6002825973 Reassigns benefits to 1 organization
Practice locations: Thornton, CO

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Southern Illinois University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8515 Pearl St
Suite 350
Thornton, CO 80229-4832
Phone (303) 287-7007

9195 Grant St
Suite 301
Thornton, CO 80229-4386

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33789COMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Rehabilitation Associates of Colorado PC CurrentSince Feb 23, 2025 Accepting new patients
RFH Colorado, LLC PastSince Aug 18, 2024 Accepting new patients
Lincoln Community Hospital Past Accepting new patients
Restore Wound Care LLC PastSince Jul 13, 2021 Accepting new patients

Locations

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

8515 Pearl St
Ste 350
Thornton, CO 80229
Phone (303) 287-7007

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1265596308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 PEARL ST STE 350",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294832",
            "telephone_number": "303-287-7007",
            "fax_number": "303-287-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 PEARL ST STE 350",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294832",
            "telephone_number": "303-287-7007",
            "fax_number": "303-287-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENICK",
        "first_name": "MORRY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "33789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01337898",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.