UTAH SURGICAL ASSOCIATES, INC. (NPI# 1851450720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851450720 |
| Entity Type | Organization |
| Organization Name | UTAH SURGICAL ASSOCIATES, INC. |
| Practice Address |
3550 N University Ave Ste 250 Provo UT 84604-6685 |
| Practice Telephone | 8013749625 |
| Practice Fax Number | 8013749690 |
| Mailing Telephone | 8013749625 |
| Mailing Fax Number | 8013749690 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MR. GEOFF SCHWIERMANN (ADMINISTRATOR) |
| Authorized Official Telephone | 8013749625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3550 N UNIVERSITY AVE STE 250 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336402569 | Elise Michelle Mecham | Plastic Surgery | 3550 N University Ave Ste 250, Provo, UT 84604-6695 | 2012-06-22 |
| 1164709630 | Lacee Wilkinson | Physician Assistant | 3550 N University Ave Ste 250, Provo, UT 84604 | 2011-11-10 |
| 1487802914 | Tavia Mathers | Nurse Practitioner | 3550 N University Ave Ste 250, Provo, UT 84604-6685 | 2008-09-09 |
| 1376689877 | Jory Sorensen | Nurse Practitioner | 3550 N University Ave Ste 250, Provo, UT 84604-6685 | 2007-01-30 |
| 1669521571 | Karl M Francis Jr. | Surgery | 3550 N University Ave Ste 250, Provo, UT 84604-6685 | 2007-01-09 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427306752 | Kalie Ann Larson | Specialist | 370 S 200 E, Bsmt, Provo, UT 84606-4608 | 2012-08-16 |
| 1356613558 | Ronald G. Duerksen, Md, PC | Specialist | 1055 N 300 W Ste 416, Provo, UT 84604-3354 | 2012-02-02 |
| 1417253709 | Tyra Pomazal | Specialist | 659 N 700 E, Provo, UT 84606-6921 | 2011-02-03 |
| 1336264050 | Utah Vascular Center | Specialist | 1055 N 300 W Ste 205, Provo, UT 84604-5044 | 2007-03-20 |
| 1740210756 | Thomas E Judd | Specialist | 1355 N University Ave Ste 110, Provo, UT 84604-2721 | 2006-07-04 |
| 1760464895 | A Creig Macarthur | Specialist | 1055 North 300 West, Suite 212, Provo, UT 84604 | 2005-11-15 |
| 1417938325 | Hugo G Altamirano | Specialist | 745 N 500 W, #200, Provo, UT 84601-1472 | 2005-11-08 |
| 1851397491 | Paul Ferron Olson | Specialist | 1055 N 300 W, Ste 204, Provo, UT 84604-3374 | 2005-06-27 |
| 1144223835 | Bruce C Mcallister | Specialist | 1055 N 500 W, Suite 102, Provo, UT 84604-3305 | 2005-05-27 |
| 1952761132 | Louis Hopoate | Specialist | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-01 |
| Find all providers in PROVO | ||||
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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.