OrganizationActive
Olympus Medical
NPI 1770247470 · Clinical Neurophysiology Physician · Alpine, UT
Provider details
- NPI number
- 1770247470
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tonya Gilliam, Billing Director(972) 632-6877
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
279 Sunrise Dr
Alpine, UT 84004-1563
Phone: (801) 430-0282
Street-level locationGet directions
Mailing address
279 Sunrise Dr
Alpine, UT 84004-1563
Other names (DBA / former)
- Doing business as
- Olympus Medical
Registry dates
- Enumerated
- 2021-10-28
- Last updated
- 2021-10-28
- Certified
- 2021-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.