Olympus Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OLYMPUS SURGERY CENTER, LLC

Practice address

650 E 4500 S Ste 110
Salt Lake City, UT 84107-2901

Phone

(801) 253-6886

NPI assigned

Mar 18, 2026

Organization subpart

No

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

Authorized official

Name

Ryan S Ellsworth, DPM

Title

Ceo

Phone

(801) 253-6886

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1346198173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 S HIGHLAND DR STE B4",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841063095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 4500 S STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072901",
            "telephone_number": "801-253-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-253-6886",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olympus Clinic
• Olympus Family Medicine
• Olympus Healing Clinic
• Olympus Health Services, LLC
• Olympus Medical House Calls
• Olympus Valley Surgical Assoicates PLLC
• Olympus View Dental
• Nicassia Oman
• Rahma Sharif Omar
• James Matthew Ombrello, PT

• Ambulatory Surgical Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.