MT OGDEN UTAH SURGICAL CENTER LLC (NPI# 1720324296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720324296 |
| Entity Type | Organization |
| Organization Name | MT OGDEN UTAH SURGICAL CENTER LLC |
| Practice Address |
4364 Washington Blvd Ogden UT 84403-1866 |
| Practice Telephone | 8014794470 |
| Mailing Telephone | 8014794470 |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2018-04-05 |
| Authorized Official Name | WILLIAM GREGORY SWINNEY (VP) |
| Authorized Official Telephone | 9727892877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
2011-ASF-880 | UT | Ambulatory Health Care Facilities |
| Street Address |
4364 WASHINGTON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659336881 | Mt. Ogden Surgical Center LLC | Clinic/Center | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2006-04-19 |
| 1659700359 | Julie Dee Md Pllc | Anesthesiology | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2013-11-04 |
| 1972825370 | Cbt Anesthesia, PC | Nurse Anesthetist, Certified Registered | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2010-02-25 |
| 1790010239 | Stimpson Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2009-10-15 |
| 1609002872 | Gasman Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 4364 Washington Blvd, Ogden, UT 84403 | 2009-06-02 |
| 1235373556 | Highlands Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2009-04-30 |
| 1801045869 | Layne B. Croxford Crna PC | Nurse Anesthetist, Certified Registered | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2008-09-15 |
| 1538347364 | Danny Cole LLC | Nurse Anesthetist, Certified Registered | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2008-02-04 |
| 1548441207 | Kenneth Rheim Turley | Anesthesiology | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2007-11-21 |
| 1841367455 | Micah Patrick Kronmiller | Nurse Anesthetist, Certified Registered | 4364 Washington Blvd, Ogden, UT 84403-1866 | 2006-11-29 |
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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 |
|---|---|---|---|---|
| 1346420882 | Mckay Dee Surgical Center LLC | Clinic/Center | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2007-11-13 |
| 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 |
| 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.