Organization Active NPI

St Marks Ambulatory Surgery Associates LP

  • Ambulatory Surgical Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1174587984
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2005ASF519 Issued in UT
Legal business name
ST MARKS AMBULATORY SURGERY ASSOCIATES LP
Practice address
1250 E 3900 S
Suite 100
Salt Lake City, UT 84124-1348
Phone
(801) 262-0358
Fax
(801) 262-0901
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2005ASF519 UT Primary

Addresses

Primary practice location

1250 E 3900 S
Suite 100
Salt Lake City, UT 84124-1348

Mailing address

1250 E 3900 S Ste 100
Salt Lake City, UT 84124-1363
Phone (801) 262-0358

Other names 1

  • Mt. Olympus Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080617000241 UT Part B Supplier - Ambulatory Surgical Center 2062583115 Practice locations: Salt Lake City, UT

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
St Marks Ambulatory Surgery Associates LPCCN 46C0001012
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0720995Mt Olympus Surgery Center1250 E 3900 S Ste 100, Salt Lake City, UT 84124Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Networks

  • UT PPOPlans: DEVOTED CHOICE GIVEBACK 002 UT (PPO) (H4473-002-000, H4473); DEVOTED CHOICE 001 UT (PPO) (H4473-001-000, H4473)

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1174587984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241363",
            "telephone_number": "801-262-0358",
            "fax_number": "801-262-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-262-0358",
            "fax_number": "801-262-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARKS AMBULATORY SURGERY ASSOCIATES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "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": "UT",
            "license": "2005ASF519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Olympus Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • 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.