Active NPI
Timpview ASC, LLC
- Ambulatory Surgical Clinic/Center
- American Fork, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TIMPVIEW ASC, LLC
- Practice address
- 1175 E 50 S
American Fork, UT 84003-2845 - Phone
- (719) 492-5994
- NPI assigned
- Sep 1, 2021
- 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
- Brent K Ashby
- Title
- Manager
- Phone
- (385) 365-0855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1175 E 50 S
American Fork, UT 84003-2845
Mailing address
1175 E 50 S Ste 101
American Fork, UT 84003-2846
Phone (385) 365-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220121000773 | UT | Part B Supplier - Ambulatory Surgical Center | 5092107128 | Practice locations: American Fork, UT |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Timpview ASC LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 46D1057734 | Timpview ASC | Certificate of waiver | Aug 20, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
1175 E 50 S
#161
American Fork, UT 84003
1175 E 50 S
Ste 101
American Fork, UT 84003
Phone (719) 964-7813
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Pleasant Grove, UT
- NPI 1679756852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1346918646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 E 50 S STE 101",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032846",
"telephone_number": "385-365-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 E 50 S",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032845",
"telephone_number": "719-492-5994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMPVIEW ASC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-01",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "ASHBY",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "385-365-0855"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.