Park Terrace Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARK TERRACE SURGICAL CENTER LLC

Practice address

650 E 4500 S Ste 100
Salt Lake City, UT 84107-4536

Phone

(801) 261-2000

Fax

(801) 261-4539

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Wardle

Title

Ceo

Phone

(801) 261-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1215540968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E 4500 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074536",
            "telephone_number": "801-261-2000",
            "fax_number": "801-261-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 4500 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074536",
            "telephone_number": "801-261-2000",
            "fax_number": "801-261-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK TERRACE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "WARDLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-261-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Ann Parisot
• Sherveen Nick Parivash, MD
• Park City Podiatry LLC
• Park Terrace Anesthesia Associates LLC
• Park Terrace Surgical Associates LLC
• Albert H. Park, MD
• Alice Park
• Ashley Park
• Brandon Birg Park, M.D.
• Brittney Marie Park

• 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 24, 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.