Surgical Care Associates

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1122810010 Issued in UT

Legal business name

SURGICAL CARE ASSOCIATES

Practice address

1025 East 3300 South
Suite B
Salt Lake City, UT 84106-4389

Phone

(435) 628-4507

Fax

(435) 628-3748

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Megan R Whittaker

Title

Administrator

Phone

(435) 628-4507

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1689833436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 910735",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847910735",
            "telephone_number": "435-628-4507",
            "fax_number": "435-628-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 EAST 3300 SOUTH",
            "address_2": "SUITE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064389",
            "telephone_number": "435-628-4507",
            "fax_number": "435-628-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-628-4507",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "1122810010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639146817091",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Superior Care Pharmacy, LLC (Omnicare of Salt Lake City)
• Katherine P Supiano, LCSW
• Mark Andrew Supiano, M.D.
• Sara A Supinski, L.A.C.
• Nuttanun Suramaethakul, MD
• Surgical Weight Loss Specialists PLLC
• Natalie Surut, PT, DPT
• Amit Surve, MD
• Survive & Thrive Therapy Services, PLLC
• Mandy Susaeta

• Ophthalmology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.