Ambulatory Surgery Center of Utah, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMBULATORY SURGERY CENTER OF UTAH, LLC

Doing business as

Ambulatory Surgery Center of Utah

Practice address

5782 Adams Ave Pkwy Ste 100
Washington Terrace, UT 84405-6947

Phone

(801) 917-8000

NPI assigned

Jun 23, 2022

Last updated

Jul 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey J Rocco, MDNPI 1306818190

Title

Owner/Managing Partner

Phone

(801) 644-8795

Specialties & licenses 1

Addresses

Other names 1

• Ambulatory Surgery Center of Utah Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Listed as

Ambulatory Surgery Center of Utah LLCCCN 46C0001082

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey J Rocco, MD

  • Orthopaedic Surgery Physician
  • Washington Terrace, UT
  • NPI 1306818190
  Authorized official Same address or phone
• Damian Illing, MD

  • Orthopaedic Surgery Physician
  • Ogden, UT
  • NPI 1437536554
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1417688060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 ADAMS AVE PKWY STE 100",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844056947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5782 ADAMS AVE PKWY STE 100",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844056947",
            "telephone_number": "801-917-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGERY CENTER OF UTAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "ROCCO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "801-644-8795",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Surgery Center of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared D Abrams, PA-C
• Adjust Your Life - Chiropractic
• Arterial and Cardiothoracic Surgery Consultants
• ASC of Utah Surgicenter, LLC (Ambulatory Surgery Center of Utah)
• Mia Kristiana Barker, TRT
• Beaver Valley Hospital (Mt. Ogden Health and Rehabilitation Center)
• Beaver Valley Hospital (Mt. Ogden Therapy)

• Ambulatory Surgical Clinic/Center in Washington Terrace, UT
• Providers in Washington Terrace, 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 Jul 11, 2022; 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.