Olympus Health Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OLYMPUS HEALTH SERVICES, LLC

Practice address

5296 Commerce Dr
Suite 206
Salt Lake City, UT 84107-4767

Phone

(801) 809-4633

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Justin R Johnsen, M.D

Title

Owner/Manager

Phone

(801) 809-4633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1922323286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900292",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840900292",
            "telephone_number": "801-809-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5296 COMMERCE DR",
            "address_2": "SUITE 206",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074767",
            "telephone_number": "801-809-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-809-4633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Lanae Olson
• Olympus Anesthesia Associates PLLC
• Olympus Clinic
• Olympus Family Medicine
• Olympus Healing Clinic
• Olympus Medical House Calls
• Olympus Surgery Center, LLC
• Olympus Valley Surgical Assoicates PLLC
• Olympus View Dental
• Nicassia Oman

• Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.