Olympus Pain and Orthopedics

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

Q8858 Issued in TX

Legal business name

OLYMPUS PAIN AND ORTHOPEDICS

Practice address

1001 12TH Ave Ste 154
Fort Worth, TX 76104-3929

Phone

(469) 998-2400

Fax

(469) 998-2401

NPI assigned

Oct 20, 2017

Organization subpart

No

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

Authorized official

Name

Sherry Alonzo

Title

Manger

Phone

(469) 998-2400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1780195412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 154",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043929",
            "telephone_number": "469-998-2400",
            "fax_number": "469-998-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 154",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043929",
            "telephone_number": "469-998-2400",
            "fax_number": "469-998-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS PAIN AND ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "ALONZO",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "469-998-2400"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q8858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Olutoyin Oluwaleye, PMHNP
• Emma Edith Olvera, RN
• Marcus Anthony Olvera
• Rebecca E Olvera, MD
• Christian L Olympia, MD
• Sana Omair, MD
• Omar a. Gomez, M.D.,P.a.
• Omar F Selod DO PA
• Kathryn M Omarkhail, MSSW, LCSW
• Monica L Omey, M.D.

• All providers in Fort Worth, TX
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.