Olympus Valley Surgical Assoicates PLLC
NPI 1164965570ActiveOrganization· Surgery· Salt Lake City, UT
Surgery in Salt Lake City, Utah, registered in NPPES in December 2016. The authorized official on file is Karen Marie Vaughn, Officer.
Overview
| NPI | 1164965570 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2016 |
| Last updated in NPPES | Oct 16, 2023 |
| Certified by provider | Oct 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Surgery, Trauma Surgery | 2086S0127X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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