Interventional Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INTERVENTIONAL SURGICAL CENTER LLC

Practice address

151 E 5600 S Ste 104
Murray, UT 84107-8140

Phone

(801) 816-0332

Fax

(801) 816-0331

NPI assigned

Feb 1, 2023

Last updated

Mar 20, 2023By 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

Laura Hill

Title

Administrator

Phone

(801) 816-0332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497451439. Details of each certification follow.

• CCN 46C0001078 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 46C0001078

Legal name

Interventional Surgical Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 10, 2023

Last certification

Aug 10, 2023

Ownership / control type

Proprietary

Facility address

151 East 5600 South
Salt Lake City, UT 84107

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

CLIA laboratory certificates

Practitioners 7

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.

• Vikas Garg, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Logan, UT
  • NPI 1104852599
  Medicare reassignment NPD
• William Farnsworth Gensler

  • Physical Medicine & Rehabilitation Physician
  • Murray, UT
  • NPI 1366070658
  Medicare reassignment NPD
• Angela Lee Ivester, CRNA

  • Certified Registered Nurse Anesthetist
  • Farmington, UT
  • NPI 1538423058
  Medicare reassignment NPD
• Kristina Michelle Reed, M.D.

  • Pain Medicine Physician
  • Salt Lake City, UT
  • NPI 1407057953
  Medicare reassignment NPD
• Seth Bires, DO

  • Physical Medicine & Rehabilitation Physician
  • Vadnais Heights, MN
  • NPI 1083173322

  UT

  Medicare reassignment NPD
• Scott H Frogley, CCEP

  • Chiropractor
  • South Jordan, UT
  • NPI 1790825388
  NPD
• Kirk R Wersland, DC

  • Chiropractor
  • Bountiful, UT
  • NPI 1558353979
  NPD

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1497451439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10376 S JORDAN GTWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953954",
            "telephone_number": "801-816-0332",
            "fax_number": "801-816-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 104",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078140",
            "telephone_number": "801-816-0332",
            "fax_number": "801-816-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-816-0332"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Spine & Pain Management
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• Linda Susan Iqbal, MD
• Heather Ireland-Hinz, MS, OTR/L
• Richard A Irion, M.D.
• Richard Nelson Irion, M.D.

• Ambulatory Surgical Clinic/Center in Murray, UT
• Providers in Murray, 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 20, 2023; 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.

Verify at the official NPI Registry.