PEAKS SURGERY CENTER, LLC (NPI# 1629516901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629516901 |
| Entity Type | Organization |
| Organization Name | PEAKS SURGERY CENTER, LLC |
| Practice Address |
320 River Park Dr Ste 125 Provo UT 84604-6065 |
| Practice Telephone | 8315887296 |
| Mailing Telephone | 8315887296 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2018-04-16 |
| Authorized Official Name | DR. LEE J MAREK (MEMBER) |
| Authorized Official Telephone | 8315887296 |
| Authorized Official Credential | DPM |
| 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 |
320 RIVER PARK DR STE 125 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750368718 | Susanna Bean West | Nurse Anesthetist, Certified Registered | 320 River Park Dr Ste 125, Provo, UT 84604 | 2005-12-29 |
| 1093329427 | Advanced Vein and Vascular of Utah Valley LLC | Internal Medicine | 320 River Park Dr Ste 125, Provo, UT 84604-6065 | 2020-09-02 |
| 1407486012 | Nathan Huntsman | Registered Nurse | 320 River Park Dr Ste 125, Provo, UT 84604-6065 | 2020-01-22 |
| 1821290883 | Riverwoods Anesthesia Pllc | Anesthesiology | 320 River Park Dr Ste 125, Provo, UT 84604-5787 | 2007-06-01 |
| 1265554844 | Jared W Ollerton | Nurse Anesthetist, Certified Registered | 320 River Park Dr Ste 125, Provo, UT 84604-5787 | 2007-04-04 |
| 1063534550 | Rodney L Fisher | Nurse Anesthetist, Certified Registered | 320 River Park Dr Ste 125, Provo, UT 84604-5787 | 2007-04-04 |
| 1972624146 | Clark S Ashby | Anesthesiology | 320 River Park Dr Ste 125, Provo, UT 84604-5787 | 2007-04-03 |
| 1700983038 | Morgan K Grant | Anesthesiology | 320 River Park Dr Ste 125, Provo, UT 84604-6065 | 2006-09-20 |
| 1598731598 | Jed T Widdison | Nurse Anesthetist, Certified Registered | 320 River Park Dr Ste 125, Provo, UT 84604-6065 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538100649 | Riverwoods Surgery Center, LLC | Clinic/Center | 320 W. River Park Dr, Suite 125, Provo, UT 84601 | 2006-06-09 |
| 1962463950 | Central Utah Surgical Center L.L.C. | Clinic/Center | 1067 N 500 W, Provo, UT 84604-3305 | 2006-03-29 |
| 1083007652 | Si Procedure Center | Clinic/Center | 280 River Park Dr, Suite 200, Provo, UT 84604-5764 | 2015-03-06 |
| 1477646479 | Riverwoods Interventional Radiology Inc | Clinic/Center | 3152 N University Ave, Suite 150, Provo, UT 84604-4729 | 2006-10-02 |
| 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.