Family Surgical Suite

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FAMILY SURGICAL SUITE

Practice address

151 E 5600 S Ste 104
Murray, UT 84107-8140

Phone

(801) 495-1064

Fax

(801) 523-1139

NPI assigned

Aug 20, 2008

Last updated

Aug 20, 2008By 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

Emily Saine

Title

Accounting

Phone

(801) 495-1064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Family Surgical Suite

  • Ambulatory Surgical Clinic/Center
  • West Jordan, UT
  • NPI 1508040221

  O20080213000228

  Same enrollment
• Family Surgical Suite

  • Anesthesiology Physician
  • Murray, UT
  • NPI 1811146384

  O20080213000228

  Same enrollment

Tax ID family

Family Surgical Suite3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Family Surgical Suite

  • Ambulatory Surgical Clinic/Center
  • West Jordan, UT
  • NPI 1508040221
  NPD tax ID
• Family Surgical Suite

  • Anesthesiology Physician
  • Murray, UT
  • NPI 1811146384
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dan Eugene Thomas, MD

  • Anesthesiology Physician
  • Provo, UT
  • NPI 1336362656
  NPD
• Mitchell Douglas Duckworth, DDS

  • Student in an Organized Health Care Education/Training Program
  • Stony Brook, NY
  • NPI 1649530601
  NPD
• Ty Allen Mays, DDS

  • Dental Anesthesiology
  • Weatherford, OK
  • NPI 1790213486
  NPD
• Eric E Sisam, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Parker, AZ
  • NPI 1518251503
  NPD

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1083861165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 104",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078140",
            "telephone_number": "801-495-1064",
            "fax_number": "801-523-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 104",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078140",
            "telephone_number": "801-495-1064",
            "fax_number": "801-523-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SURGICAL SUITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "SAINE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "801-495-1064"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Counseling Center
• Family Counseling Center
• Family First Chiropractic & Wellness Center
• Family First Counseling
• Family Focus Counseling (Family First Counseling)
• Family Surgical Suite
• Claudia Faria
• Kirsten Farley
• Michael O Farley, MD
• James Richard Farnsworth, MD

• Ambulatory Surgical Clinic/Center in Murray, UT
• Providers in Murray, 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 Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.