Carla Hoffman Olsen, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

5414758-1205 Issued in UT

Practice address

2390 S Redwood Rd
Salt Lake City, UT 84119-2027

Phone

(801) 975-1600

Fax

(801) 978-2693

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carla Hoffman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659404424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MILL ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105051",
            "telephone_number": "801-296-7629",
            "fax_number": "801-296-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 S REDWOOD RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841192027",
            "telephone_number": "801-975-1600",
            "fax_number": "801-978-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "CARLA",
        "middle_name": "HOFFMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "UT",
            "license": "5414758-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "HOFFMAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Paige Olsen, REGISTERED NURSE
• Autumn Olsen
• Barney T Olsen, D.D.S., M.S.
• Boomer B. Olsen, DO
• Callysta Olsen
• Carli Olsen
• Daniel Olsen, M.D.
• David G. Olsen, MD
• David Rory Olsen
• Desirae Lyn Olsen

• Preventive Medicine/Occupational Environmental Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.