Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Poulsen

Individual provider Orthopaedic Surgery Physician · NPI 1881635761

Matthew Poulsen is an Orthopedic Surgery in Orem, Utah. Graduated from Medical College of Wisconsin in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Kentucky and Utah.

Years since qualifying
22
Trained at
Medical College of Wisconsin
Licensed in
KY, UT
In the registry since
2006
Specialties on file
2

Practice location Address checks out

700 W 800 N Ste 100
Orem, UT 84057-6301
Phone: (801) 224-5373
Fax: (801) 224-5337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4725374-1205 (UT)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 43447 (KY)

Record details

NPI number1881635761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESSeptember 7, 2012
Mailing address1055 N 500 W, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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