Synergies Surgery Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SYNERGIES SURGERY CENTER LP

Doing business as

Mt. Olympus Surgery Center

Practice address

348 E 4500 S
Suite 230
Salt Lake City, UT 84107-3906

Phone

(801) 685-6400

Fax

(801) 685-6401

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Don Liedtke

Title

Cfo

Phone

(615) 344-5507

Specialties & licenses 1

Addresses

Other names 1

• Mt. Olympus Surgery Center Doing business as

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164504353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 E 4500 S",
            "address_2": "SUITE 230",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073906",
            "telephone_number": "801-685-6400",
            "fax_number": "801-685-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S",
            "address_2": "SUITE 230",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073906",
            "telephone_number": "801-685-6400",
            "fax_number": "801-685-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIES SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEDTKE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-344-5507"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Olympus Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Calee Jean Syme
• Rebecca Hayley Symes
• Ronica Symes, C.S.W.
• Angela Symonds
• Tiffany Joy Synelnikov
• Synergy DME
• Marc Synnestvedt
• Carter Smith Syphus, RN, BSN
• Lauren Syphus
• Mary Syphus

• Ambulatory Surgical Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.