SURGICAL SPECIALTIES LLC (NPI# 1346611035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346611035 |
| Entity Type | Organization |
| Organization Name | SURGICAL SPECIALTIES LLC |
| Practice Address |
2940 N Church St Layton UT 84040-6614 |
| Mailing Address |
1086 E Highway 193 Layton UT 84040-8572 |
| Practice Telephone | 8014300405 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Authorized Official Name | MATT GERTGE (MEMBER) |
| Authorized Official Telephone | 8014300405 |
| 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 |
2940 N CHURCH ST |
| City | LAYTON |
| State | UT |
| Zip Code | 84040-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850421 | Kylee Havey | Behavior Technician | 2940 N Church St, Layton, UT 84040-6614 | 2020-01-24 |
| 1942869870 | Karoline Chamberlain Moyes | Behavior Technician | 2940 N Church St, Layton, UT 84040-6614 | 2019-06-13 |
| 1316504277 | Nidhi Ahir | Behavior Technician | 2940 N Church St, Layton, UT 84040-6614 | 2019-05-24 |
| 1528622289 | Tana Singley | Behavior Technician | 2940 N Church St, Layton, UT 84040-6614 | 2019-04-29 |
| 1841854452 | Jailyn Lucille Smith | Behavior Technician | 2940 N Church St, Layton, UT 84040-6614 | 2019-04-29 |
| 1578021499 | Haylee Shay Hersley | Behavior Technician | 2940 N Church St, Layton, UT 84040-6614 | 2019-03-10 |
| 1326506387 | Jennifer Heninger | Behavior Technician | 2940 N Church St, Layton, UT 84040-6614 | 2019-03-08 |
| 1609331610 | Crystal Andrea Martinez | Behavior Technician | 2940 N Church St, Layton, UT 84040-6614 | 2019-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410947 | Creek Dental Group Meadowbrook LLC | Dentist | 1148 E Ut-193, Layton, UT 84040 | 2020-09-08 |
| 1902417629 | Christopher Luis Perez | Behavior Technician | 2940 Church Street, Suite 303, Layton, Davis, UT 84040 | 2020-08-14 |
| 1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
| 1568929875 | Cassie Marie Decker | Behavior Technician | 2935 N 935 E, Layton, UT 84040 | 2019-02-22 |
| 1174035257 | Emily Reed | Behavior Technician | 935 E 2985 N, Layton, UT 84040 | 2017-10-30 |
| 1679008122 | Christopher Valdez | Behavior Technician | 935 East 2985 North, Layton, UT 84040 | 2017-04-21 |
| 1194175463 | Halie Checketts | Behavior Technician | 935 E 2985 S, Layton, UT 84040 | 2016-06-17 |
| 1609231125 | Katherine Pike Macias | Speech-Language Pathologist | 201 W Latyon Parkway, Layton, UT 84040 | 2015-12-28 |
| 1891164752 | Katherine Dean Turek | Social Worker | 476 West Heritage Park Blvd, Suite 220, Layton, UT 84040 | 2015-09-22 |
| 1790152189 | Alma Discuillo | Behavior Technician | 2490 N Church St, Layton, UT 84040 | 2015-09-01 |
| Find all providers in zip 84040 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811973589 | Davis Surgical Center, LLC | Clinic/Center | 1544 W Antelope Dr, Layton, UT 84041-1146 | 2005-12-15 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.