Active NPI
Peaks Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Provo, UT
National Provider Identifier
1629516901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PEAKS SURGERY CENTER, LLC
- Practice address
- 320 River Park Dr Ste 125
Provo, UT 84604-6065 - Phone
- (831) 588-7296
- NPI assigned
- Feb 7, 2017
- 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
- Dr. Lee J Marek, DPM
- Title
- Member
- Phone
- (831) 588-7296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
320 River Park Dr Ste 125
Provo, UT 84604-6065
Mailing address
320 River Park Dr Ste 125
Provo, UT 84604-6065
Phone (831) 588-7296
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523836800000",
"number": "1629516901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 RIVER PARK DR STE 125",
"city": "PROVO",
"state": "UT",
"postal_code": "846046065",
"telephone_number": "831-588-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 RIVER PARK DR STE 125",
"city": "PROVO",
"state": "UT",
"postal_code": "846046065",
"telephone_number": "831-588-7296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAKS SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-07",
"last_updated": "2018-04-16",
"status": "A",
"authorized_official_last_name": "MAREK",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "831-588-7296",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.