Epic Surgical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EPIC SURGICAL LLC

Practice address

5450 S Green St Ste B
Murray, UT 84123-5632

Phone

(012) 906-0608

NPI assigned

Sep 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mark Scott Huff, MD

Title

Cmo & Ceo

Phone

(801) 663-3332

Specialties & licenses 1

Addresses

Other names 1

• Epic Surgical, LLC Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 46C0001066

Legal name

Epic Surgical, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 23, 2020

Last certification

Sep 23, 2020

Ownership / control type

Proprietary

Facility address

5450 South Green Street, Suite B
Murray, UT 84123

Locations

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1154979284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 S GREEN ST STE B",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235632",
            "telephone_number": "012-906-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 S GREEN ST STE B",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235632",
            "telephone_number": "012-906-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-02",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CMO & CEO",
        "authorized_official_telephone_number": "801-663-3332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EpicMedicalSecureServer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5450 S Green St Ste B",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841235632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Epic Surgical, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Epic Surgical, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.