SALT LAKE SURGICAL SERVICES PLLC (NPI# 1184150013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184150013 |
| Entity Type | Organization |
| Organization Name | SALT LAKE SURGICAL SERVICES PLLC |
| Other Organization Name | THE SURGICALIST GROUP, PLLC |
| Practice Address |
1492 W Antelope Dr Ste 209 Layton UT 84041-1158 |
| Mailing Address |
Po Box 21647 Tampa FL 33622-1647 |
| Practice Telephone | 3854293535 |
| Practice Fax Number | 3854293515 |
| Mailing Telephone | 8135305043 |
| Mailing Fax Number | 8135305043 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | MIT NAVANIT DESAI (CEO) |
| Authorized Official Telephone | 8135305043 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Surgicalist Group, PLLC | Doing Business As Name - Organization |
| Street Address |
1492 W ANTELOPE DR STE 209 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316483639 | Robert Jacobsen | Surgery | 1822 E 1950 N, Layton, UT 84040-2214 | 2017-01-10 |
| 1427564970 | Ihc Health Services Inc | Surgery | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2017-12-20 |
| 1871649467 | Joseph W Jensen, Do, PC | Surgery | 1580 W Antelope Dr, Suite 130, Layton, UT 84041-1160 | 2007-01-26 |
| 1700932639 | Peter V Wilson, Md, Pllc | Surgery | 1580 W Antelope Dr, Suite 130, Layton, UT 84041-1160 | 2007-01-25 |
| 1043300676 | Richard G. Barton | Surgery | 2132 N Robins Dr Ste 307, Layton, UT 84041-7077 | 2006-10-13 |
| 1316035942 | Jon C Oberg | Surgery | 2121 N 1700 W, Layton, UT 84041-8803 | 2006-10-10 |
| 1518998921 | Peter V Wilson | Surgery | 1580 W Antelope Dr, Suite #230, Layton, UT 84041-1160 | 2006-07-05 |
| 1164463477 | Joseph W Jensen | Surgery | 1580 W Antelope Dr, #230, Layton, UT 84041-1160 | 2006-06-09 |
| 1326024191 | Wade B Larsen | Surgery | 2121 N 1700 W, Layton, UT 84041-8803 | 2005-12-22 |
| 1457337305 | E Dean Flanders | Surgery | 2121 N 1700 W, Layton, UT 84041-8803 | 2005-12-21 |
| Find all providers in LAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.