Active NPI
Karyn Michelle Strasen, MD
- Surgery Physician
- Salt Lake City, UT
National Provider Identifier
1437151198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G061008
- Practice address
- 275 East 200 South
Vista Staffing Solutions
Salt Lake City, UT 84111 - Phone
- (800) 366-1884
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G61008 | CA | |
| Surgery Physician | 208600000X | G061008 | CA | Primary |
| Surgery Physician | 208600000X | 05790 | AK |
Addresses
Primary practice location
275 East 200 South
Vista Staffing Solutions
Salt Lake City, UT 84111
Mailing address
1115 SE 164TH Ave
Dept 364
Vancouver, WA 98683-9324
Phone (907) 225-7346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G610080 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05790 | AK | MD | Surgery Physician |
| G061008 | CA | MD | Surgery Physician |
| G61008 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Memorial Physician Specialities | Past | Accepting new patients | |
| Public Hospital District No 1 of Mason County | Past | Accepting new patients |
Interoperability endpoints
- mstrasen4618@direct.peacehealth.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1386763290
-
dba Mason Health-Mason General Hospital
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1437151198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"address_2": "DEPT 364",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "907-225-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 EAST 200 SOUTH",
"address_2": "VISTA STAFFING SOLUTIONS",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84111",
"telephone_number": "800-366-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRASEN",
"first_name": "KARYN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G61008",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G061008",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AK",
"license": "05790",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G610080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.