North Ogden Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTH OGDEN SURGERY CENTER LLC

Practice address

1804 West 2550 North
Farr West, UT 84404

Phone

(303) 332-4170

NPI assigned

Jan 4, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Cox, RN

Title

Administrator

Phone

(303) 332-4170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan A Donigan, M.D.

  • Orthopaedic Hand Surgery Physician
  • Layton, UT
  • NPI 1750599171
  NPD (past)

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1700656337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 FM 1339",
            "city": "KINGSBURY",
            "state": "TX",
            "postal_code": "786381112",
            "telephone_number": "303-332-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 WEST 2550 NORTH",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "84404",
            "telephone_number": "303-332-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OGDEN SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-332-4170",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaylee Patricia Moran
• Brandy D Mouritsen, MSW
• Todd W Mumford, O.D.
• Marques Skot Neilson, DO
• Samantha Reese Nelson
• Ella Jennie Olsen
• On Site Dental LLC
• Olivia Packer
• Victoria Palestino-Sanchez
• Adora Pali, RD, CD

• Ambulatory Surgical Clinic/Center in Farr West, UT
• Providers in Farr West, 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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.