SOUTH TOWN SURGERY GROUP, LLC (NPI# 1992182216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992182216 |
| Entity Type | Organization |
| Organization Name | SOUTH TOWN SURGERY GROUP, LLC |
| Practice Address |
10011 S Centennial Pkwy Sandy UT 84070-4156 |
| Mailing Address |
Po Box 1944 Sandy UT 84091-1944 |
| Practice Telephone | 5014047246 |
| Mailing Telephone | 5014047246 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | CAROLINA DELA PAVA (ADMINISTRATOR) |
| Authorized Official Telephone | 5014047246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Street Address |
10011 S CENTENNIAL PKWY |
| City | SANDY |
| State | UT |
| Zip Code | 84070-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750351847 | Scott Adelman | Physical Medicine & Rehabilitation | 10011 S Centennial Pkwy, Ste 500, Sandy, UT 84070 | 2006-01-23 |
| 1518356575 | Intermountain Smiles | Dentist | 10011 S Centennial Pkwy, Suite 525, Sandy, UT 84070-4156 | 2015-01-14 |
| 1528328705 | Bradley J Jones | Physical Therapist | 10011 S Centennial Pkwy, Sandy, UT 84070-4156 | 2012-05-22 |
| 1669738662 | The Health Spot, Inc. | Nurse Practitioner | 10011 S Centennial Pkwy, Ste 350, Sandy, UT 84070-4156 | 2012-04-04 |
| 1265537195 | David A Pearson | Anesthesiology | 10011 S Centennial Pkwy, Suite 220, Sandy, UT 84070-4156 | 2006-09-14 |
| 1285604462 | Michael Thomas Giovanniello | Physical Medicine & Rehabilitation | 10011 S Centennial Pkwy, Ste 500, Sandy, UT 84070 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| 1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| Find all providers in zip 84070 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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|---|---|---|---|---|
| 1144472911 | Magnum Opus Technologies | Health Maintenance Organization | 1572 Sunrise Meadow Dr, Sandy, UT 84093-2433 | 2008-10-10 |
| 1730625609 | Body Balance Massage | Health Maintenance Organization | 11075 S State St, Ste 31, Sandy, UT 84070-5164 | 2017-01-16 |
| 1972922854 | Auralcarehearingcentersofamerica,llc | Health Maintenance Organization | 8941 S 700 E Ste 204, Sandy, UT 84070-2402 | 2014-04-08 |
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| 1942826920 | Live Love Dream Wellness | Health Maintenance Organization | 9735 S 2950 W, South Jordan, UT 84095-3262 | 2020-06-24 |
| 1386021558 | Healthcare Resource Management LLC | Health Maintenance Organization | 2616 E Commonwealth Ave, Salt Lake City, UT 84109-1312 | 2015-04-27 |
| 1447582952 | Wasatch Health Solutions | Health Maintenance Organization | 3185 Walker Mill Ct, Salt Lake City, UT 84121-3590 | 2010-02-08 |
| 1982858460 | Palmer's Massage LLC | Health Maintenance Organization | 815 E 400 N, Springville, UT 84663-1611 | 2008-11-10 |
| 1093980310 | Larkin Hearing Centers | Health Maintenance Organization | 1528 Woodland Park Dr, Suite 100, Layton, UT 84041-5635 | 2008-04-28 |
| 1427248467 | Advanced Eye Care | Health Maintenance Organization | 1250 E 3900 S Ste 310, Salt Lake City, UT 84124-1350 | 2007-07-26 |
| 1760570766 | Adult Home Care By Horizon | Health Maintenance Organization | 1795 Chelemes Way, Clearfield, UT 84015-6298 | 2006-10-11 |
| 1518419159 | Hurricane Valley Counseling Center | Health Maintenance Organization | 201 N State St, Hurricane, UT 84737-1871 | 2016-10-31 |
| 1942681887 | Love @ Home | Health Maintenance Organization | 130 N Main St, Lewiston, UT 84320-1501 | 2015-06-16 |
| 1215320775 | Dental Center of St. George LLC | Health Maintenance Organization | 321 N Mall Dr, #p101, St George, UT 84790-7302 | 2015-03-09 |
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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.