Northpointe Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHPOINTE SURGICAL CENTER, LLC

Practice address

2326 N 400 E Ste 100
Tooele, UT 84074-3460

Phone

(435) 843-0180

Fax

(435) 843-0181

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

Combs Jo Melody

Title

Administrator

Phone

(435) 843-0180

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Listed as

North Pointe Surgical CenterCCN 46C0001058

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 2

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

• Deseret Peak Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Tooele, UT
  • NPI 1518972280

  Member Of

  NPD member
• Ihc Health Services Inc.

  • Emergency Medicine Physician
  • Huntsville, UT
  • NPI 1255465142

  Member Of

  NPD member

Locations

Practitioners 1

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

• Michael Todd Griffeth, MD

  • Ophthalmology Physician
  • Tooele, UT
  • NPI 1891799839
  NPD

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1255676920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 N 400 E STE 100",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743460",
            "telephone_number": "435-843-0180",
            "fax_number": "435-843-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 N 400 E STE 100",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743460",
            "telephone_number": "435-843-0180",
            "fax_number": "435-843-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPOINTE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "MELODY",
        "authorized_official_first_name": "COMBS",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-843-0180"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL LIABILITY",
            "identifier": "6806D882440",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CERTIFICATION NUMBER",
            "identifier": "46C0001058",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN PTAN NUMBER",
            "identifier": "U000086465",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "2014-ASF-UT000647",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC  - ACCREDITATION",
            "identifier": "103541",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE PHARMACY CLASS B",
            "identifier": "8929365-17014",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE - TOOELE",
            "identifier": "6194",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "X-RAY LICENSE NUMBER",
            "identifier": "4310",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "46D2067524",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE CONTROLLED SUBSTANCE LICENSE",
            "identifier": "8929365-8913",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MALPRACTICE",
            "identifier": "UT900010",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulette Nielson
• Ernest Lloyd Nix Jr.
• David Michael Nord, PAC
• Heather Everett Nord, RN
• Loretta Lopez Normand
• Northpointe, Inc.
• Brytin Norton
• Brooke Nutt, CMHC INTERN
• Paki Olive
• Olympus Reimbursement LLC.

• Ambulatory Surgical Clinic/Center in Tooele, UT
• Providers in Tooele, 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 Mar 7, 2023; 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.