Active NPI
Murray Surgical
- Ambulatory Surgical Clinic/Center
- Murray, UT
National Provider Identifier
1255680559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MURRAY SURGICAL
- Practice address
- 5801 S Fashion Blvd
#190
Murray, UT 84107-6159 - Phone
- (801) 879-1048
- NPI assigned
- Aug 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Allen
- Title
- Principle
- Phone
- (801) 879-1048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
5801 S Fashion Blvd
#190
Murray, UT 84107-6159
Mailing address
PO Box 900421
Sandy, UT 84090-0421
Phone (801) 879-1048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121023000479 | UT | Part B Supplier - Ambulatory Surgical Center | 6002066321 | Practice locations: Murray, UT |
Ambulatory surgical center certification: CCN 46C0001057
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MURRAY SURGICAL
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jul 21, 2014
- Last certification
- Jul 21, 2014
- Ownership / control type
- Proprietary
- Facility address
- 5801 South Fashion Blvd, Suite 190
Murray, UT 84107
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2061719 | Murray Surgical | Certificate of waiver | Jul 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
5801 S Fashion Blvd
Ste 190
South Salt Lake, UT 84107
Phone (801) 314-4736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420156800000",
"number": "1255680559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 900421",
"city": "SANDY",
"state": "UT",
"postal_code": "840900421",
"telephone_number": "801-879-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 S FASHION BLVD",
"address_2": "#190",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076159",
"telephone_number": "801-879-1048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MURRAY SURGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-31",
"last_updated": "2015-01-02",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRINCIPLE",
"authorized_official_telephone_number": "801-879-1048",
"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": []
}
Other providers in Murray, UT
- Murray City School District
- Murray Dental Care
- Murray Family Medicine PLLC
- Murray Pediatrics LLC
- Murray Surgery Center LLC (Intermountain Health Surgery Center - TOSH)
- Murray Vision Center, P.C.
- Taylor Stevenson Murray
- Mwh02 LLC (Salt Flats Dentistry of Cottonwood)
- My Hearing Centers, LLC
- Eric Nghia Myers, CPHT,BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.
- 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.