MCKAY DEE SURGICAL CENTER LLC (NPI# 1346420882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346420882 |
| Entity Type | Organization |
| Organization Name | MCKAY DEE SURGICAL CENTER LLC |
| Practice Address |
3895 Harrison Blvd Ogden UT 84403-2312 |
| Mailing Address |
Po Box 30180 Salt Lake City UT 84130-0180 |
| Practice Telephone | 8013873600 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2018-02-26 |
| Authorized Official Name | MR. TODD CRAGHEAD (FINANCE VP-REVENUE CYCLE) |
| Authorized Official Telephone | 8015256290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
3895 HARRISON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972157576 | Tyson Jorgensen | Physical Therapist | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2019-07-31 |
| 1417410309 | Shane Edwin Hancock | Pharmacist | 3895 Harrison Blvd, C/o 1st Floor Pharmacy, Ogden, UT 84403-8440 | 2019-04-09 |
| 1366917577 | Kevin Dale Newbold | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2018-10-04 |
| 1184117475 | Laila Gerace | Physical Therapist | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2018-06-11 |
| 1740711464 | Summer Yack | Physical Therapy Assistant | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2017-03-23 |
| 1922543495 | Michelle Dawson | Specialist/Technologist | 3895 Harrison Blvd, Ogden, UT 84403-2311 | 2016-12-19 |
| 1215479555 | Justin Vernon Burr | Physical Therapist | 3895 Harrison Blvd, Ogden, UT 84403-2311 | 2016-11-16 |
| 1336692516 | Ihc Health Services Inc | Pharmacy | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2016-07-25 |
| 1043697154 | Ihc Health Services Inc | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-8440 | 2015-04-28 |
| 1619362480 | Justin Michael Johnson | Physician Assistant | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2015-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174540090 | Ihc Health Services, Inc. | Clinic/Center | 3903 Harrison Blvd, Ogden, UT 84403-2314 | 2006-07-16 |
| 1659336881 | Mt. Ogden Surgical Center LLC | Clinic/Center | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2006-04-19 |
| 1710315619 | Ridgeline Surgicenter, LLC | Clinic/Center | 6028 S Ridgeline Dr, Ogden, UT 84405-6914 | 2013-10-31 |
| 1720324296 | Mt Ogden Utah Surgical Center LLC | Clinic/Center | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2013-01-02 |
| 1649278581 | Alpine Surgical Center, LLC | Clinic/Center | 5405 S 500 E, Suite101, Ogden, UT 84405-6957 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037703 | Cache Valley Surgery Center, LLC | Clinic/Center | 630 E 1400 N Ste 120, Logan, UT 84341-2691 | 2020-06-09 |
| 1285255133 | Creek Capital Surgical Arts | Clinic/Center | 1275 E Fort Union Blvd Ste 100, Midvale, UT 84047-1890 | 2020-05-01 |
| 1639704208 | Salt Lake Surgery Center, LLC | Clinic/Center | 1046 E 100 S Ste D, Salt Lake City, UT 84102-1520 | 2020-03-04 |
| 1891347597 | Utah Intermountain Surgical Center LLC | Clinic/Center | 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 | 2019-07-12 |
| 1326512070 | Richfield Surgery Center, LLC | Clinic/Center | 860 N Main St Ste A, Richfield, UT 84701-1840 | 2019-01-16 |
| 1104301613 | Logan Surgical Suites LLC | Clinic/Center | 55 East Golf Course Road, Logan, UT 84321-0001 | 2018-10-01 |
| 1225510159 | Southwest Surgery Center LLC | Clinic/Center | 161 W 200 N Ste 105, Saint George, UT 84770-7386 | 2018-09-06 |
| 1548754427 | Union Park Surgical Center LLC | Clinic/Center | 7001 S 900 E Ste 100, Midvale, UT 84047-1700 | 2018-06-14 |
| 1982101515 | Surgical Specialists LLC | Clinic/Center | 10 W Scenic Pointe Dr Ste 102, Draper, UT 84020-6124 | 2018-04-10 |
| 1760939367 | Utah Valley Surgery Center, LLC | Clinic/Center | 2168 West Grove Parkway, Suite 101, Pleasant Grove, UT 84062-6711 | 2016-09-01 |
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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.