Ouray Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OURAY FAMILY MEDICINE LLC

Doing business as

Pavilion Family Medicine

Practice address

1804 E Pavilion PL
Montrose, CO 81401-5795

Phone

(970) 249-6670

Fax

(970) 252-1372

NPI assigned

Mar 6, 2009

Last updated

Dec 28, 2016By the provider in NPPES

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, MDNPI 1851575062

Title

Owner

Phone

(970) 249-6670

Specialties & licenses 1

Addresses

Other names 1

• Pavilion Family Medicine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David P Olson, MD

  • Family Medicine Physician
  • Montrose, CO
  • NPI 1851575062
  Authorized official Same address or phone

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": [],
    "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.