Mark H Olsen DPM PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0762 Issued in AZ

Legal business name

MARK H OLSEN DPM PLLC

Practice address

220 N Stapley Dr
#1
Mesa, AZ 85203-8057

Phone

(623) 234-8131

Fax

(623) 234-8147

NPI assigned

Jun 20, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Debbie J Sota

Title

Office Manager

Phone

(623) 234-8131

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1922413657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N STAPLEY DR",
            "address_2": "#1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038057",
            "telephone_number": "623-234-8131",
            "fax_number": "623-234-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N STAPLEY DR",
            "address_2": "#1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038057",
            "telephone_number": "623-234-8131",
            "fax_number": "623-234-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H OLSEN DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "SOTA",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-234-8131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819643",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marita
• Mark a Zitnik DC, LLC
• Mark D Goldberg, MD, PC
• Mark D. Voigt, D.D.S., P.C.
• Mark E. Lee,D.C.,P.C.
• Mark R. Scilley, DDS, PC
• Mark S. Hamblin, D.D.S., P.C.
• Mark T Callesen MD PC
• Mark W Anderson DDS PC
• Laura Lynn Markison, N.D.

• Foot & Ankle Surgery Podiatrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.