Onsyte Surgical of Nevada, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

NV20141489275 Issued in NV

Legal business name

ONSYTE SURGICAL OF NEVADA, LLC

Practice address

1262 S 650 W Suite 1D
Farmington, UT 84025

Phone

(844) 466-7983

Fax

(844) 332-5038

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Robert R Blocker, M.D.

Title

Vice-President

Phone

(801) 564-3368

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1588053300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 S 650 W STE 1D",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840254606",
            "telephone_number": "844-466-7983",
            "fax_number": "844-332-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 S 650 W SUITE 1D",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "844-466-7983",
            "fax_number": "844-332-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSYTE SURGICAL OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "BLOCKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "801-564-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "NV20141489275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie L Olsen, MD
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• Michelle L Owen-Hutchens
• Tyson Pace, MS, ATC, LAT

• Ambulatory Surgical Clinic/Center in Farmington, UT
• Providers in Farmington, 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 Jan 16, 2015; 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.