Mountain West Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOUNTAIN WEST SURGERY CENTER, LLC

Doing business as

Mountain West Surgical Center

Practice address

1551 South Renaissance Towne Dr
Suite 200
Bountiful, UT 84010-7668

Phone

(801) 383-1111

Fax

(801) 383-1115

NPI assigned

Dec 7, 2010

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David McKnight

Title

VP/Cfo

Phone

(972) 789-2816

Specialties & licenses 1

Addresses

Other names 1

• Mountain West Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Listed as

Mountain West Surgery Center LLCCCN 46C0001039

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mountain Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Bountiful, UT
  • NPI 1952019846

  Member Of

  NPD member

Networks

• UT PPO D-SNPPlans: DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) (H4473-004-000, H4473)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1003119470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107668",
            "telephone_number": "801-383-1111",
            "fax_number": "801-383-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SOUTH RENAISSANCE TOWNE DR",
            "address_2": "SUITE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107668",
            "telephone_number": "801-383-1111",
            "fax_number": "801-383-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain West Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mountain View Foot and Ankle Specialists Inc
• Mountain View Foot and Ankle Specialists Inc
• Mountain West Clinical Services
• Mountain West Ear Nose and Throat LC
• Mountain West Medicine, Inc. (MountainWest Apothecary)
• Mountainstar Behavioral Health LLC
• Mountainstar Behavioral Health LLC
• Mountaintop Audiology LLC
• Mountainwest Surgical Center LLC
• Blake Mower

• Ambulatory Surgical Clinic/Center in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.