JBR Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

JBR SURGICAL CENTER, LLC

Practice address

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

Phone

(801) 261-2000

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Sandra Woods

Title

Or Manager

Phone

(801) 261-2000

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1326660374",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBR SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OR MANAGER",
        "authorized_official_telephone_number": "801-261-2000"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rana Jawish, MD
• Rodney Gillman Jay Jr., MD
• JBD Health Services (Salt Lake Valley Chiropractic)
• JBR Anesthesia Associates LLC
• JBR Surgical Associates LLC
• JC Aljammal PLLC
• Jed Vandenberghe MD PC
• Rocky P.J. Jedick, M.D.
• Chezlie T Jedrziewski
• Jolanta Jedrzkiewicz

• 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 Jun 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.