David G. Olsen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12985867-1205 Issued in UT

Practice address

375 S Chipeta Way Ste a
Salt Lake City, UT 84108-1261

Phone

(801) 581-7234

NPI assigned

Apr 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Washington University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand River Hospital DistrictGroup PAC ID 7113837469, shared by 5 NPIs, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand River Hospital District Hospital, Rifle, CO, CCN 061317

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.olsen.1@13794.direct.athenahealth.com
• Direct secure messaging: dolsen308531@samhealth.direct-ci.com

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

• Grand River Hospital District

  • Rural Health Clinic/Center
  • Rifle, CO
  • NPI 1124074042
  Medicare reassignment NPD
• Grand River Hospital District

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991
  Medicare reassignment NPD
• Cardinal Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Glenwood Springs, CO
  • NPI 1356899421
  NPD
• Grand River Hospital District

  • Health Educator
  • Rifle, CO
  • NPI 1194365544
  NPD
• Grand River Hospital District

  • Critical Access Hospital Clinic/Center
  • Rifle, CO
  • NPI 1225296049
  NPD
• Grand River Hospital District

  • Rural Health Clinic/Center
  • Parachute, CO
  • NPI 1851347223
  NPD

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

• Grand River Hospital District

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991
  Care Compare affiliation

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1568044824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S CHIPETA WAY STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081261",
            "telephone_number": "801-581-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S CHIPETA WAY STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081261",
            "telephone_number": "801-581-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "DAVID",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12985867-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boomer B. Olsen, DO
• Callysta Olsen
• Carla Hoffman Olsen, MD
• Carli Olsen
• Daniel Olsen, M.D.
• David Rory Olsen
• Desirae Lyn Olsen
• Drew Gary Olsen
• Geoffrey Olsen
• Heather Leigh Olsen

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.