Ouray Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OURAY FAMILY MEDICINE LLC

Practice address

1804 E Pavilion PL
Montrose, CO 81401-5795

Phone

(970) 249-6670

Fax

(970) 252-1372

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David P Olson, MD

Title

Owner

Phone

(970) 249-6670

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pavilion Family Medicine Doing business as

Locations

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1790925501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 E PAVILION PL",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015795",
            "telephone_number": "970-249-6670",
            "fax_number": "970-252-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 E PAVILION PL",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015795",
            "telephone_number": "970-249-6670",
            "fax_number": "970-252-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURAY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-249-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89081251",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD WORKERS MEDICARE",
            "identifier": "DS4766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pavilion Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David P Olson, MD
• Sheila R Olson, RN
• Glenn E Oren, M.D.
• Joanne Benita Ortega, ADN, BSN
• Jonathan I Osorio-McKenna, M.D.
• Megan M Outlaw, LCSW
• Over the Rainbow Behavioral Consulting, LLC
• Over the Rainbow Behavioral Consulting, LLC
• Natalie Elizabeth Pacheco
• Carolyn Ann Packard, PT

• Family Medicine Physician in Montrose, CO
• Providers in Montrose, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.