Organization Active NPI

Lone Peak Surgery

  • Specialist
  • American Fork, UT
National Provider Identifier
1497955918
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5875556-1205 Issued in UT
Legal business name
LONE PEAK SURGERY
Practice address
1159 E 200 N
Ste. #350
American Fork, UT 84003-2022
Phone
(801) 855-2944
Fax
(801) 756-5091
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Stephen Neeleman, MD
Title
Pres.
Phone
(801) 855-2944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5875556-1205 UT Primary

Addresses

Primary practice location

1159 E 200 N
Ste. #350
American Fork, UT 84003-2022

Mailing address

1159 E 200 N
Ste. #350
American Fork, UT 84003-2022
Phone (801) 855-2944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1497955918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 E 200 N",
            "address_2": "STE. #350",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032022",
            "telephone_number": "801-855-2944",
            "fax_number": "801-756-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E 200 N",
            "address_2": "STE. #350",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032022",
            "telephone_number": "801-855-2944",
            "fax_number": "801-756-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE PEAK SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "NEELEMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "801-855-2944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "5875556-1205",
            "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 Jul 23, 2007; 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.