Individual provider Active NPI

Karyn Michelle Strasen, MD

  • Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1437151198
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G061008 Issued in CA
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

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G610080MedicaidCA

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

LicenseStateTypeSpecialty
05790AKMDSurgery Physician
G061008CAMDSurgery Physician
G61008CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Memorial Physician Specialities Past Accepting new patients
Public Hospital District No 1 of Mason County Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.