Active NPI
Gordon Nordell Olinger, M.D.
- Surgery Physician
- Parker, CO
National Provider Identifier
1457686198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20074
- Practice address
- 5108 Horned Owl Way
Parker, CO 80134-2766 - Phone
- (303) 284-9855
- Fax
- (303) 284-9855
- NPI assigned
- Oct 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20074 | WI | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 20074 | WI |
Addresses
Primary practice location
5108 Horned Owl Way
Parker, CO 80134-2766
Mailing address
5108 Horned Owl Way
Parker, CO 80134-2766
Phone (303) 284-9855
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20074 | WI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1457686198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 HORNED OWL WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801342766",
"telephone_number": "303-284-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 HORNED OWL WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801342766",
"telephone_number": "303-284-9855",
"fax_number": "303-284-9855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLINGER",
"first_name": "GORDON",
"middle_name": "NORDELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-14",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "20074",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WI",
"license": "20074",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.