Organization Active NPI

Ridgeline Surgicenter, LLC

Doing business as Ridgeline Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Ogden, UT
National Provider Identifier
1710315619
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RIDGELINE SURGICENTER, LLC
Doing business as
Ridgeline Endoscopy Center
Practice address
6028 S Ridgeline Dr
Ogden, UT 84405-6914
Phone
(801) 475-4900
NPI assigned
Oct 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6028 S Ridgeline Dr
Ogden, UT 84405-6914

Mailing address

6028 S Ridgeline Dr
Ogden, UT 84405-6914
Phone (801) 475-4900

Other names 1

  • Ridgeline Endoscopy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140224001899 UT Part B Supplier - Ambulatory Surgical Center 8628208493 Practice locations: Ogden, UT

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ridgeline Surgicenter LLCCCN 46C0001023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2068234Ridgeline Surgicenter LLC6028 S Ridgeline Dr Suite 100, Ogden, UT 84405Certificate of waiverOct 29, 2027

National Provider Directory

National Provider Directory

Locations

6028 S Ridgeline Dr
Ogden, UT 84405
Phone (385) 432-5838

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1710315619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S RIDGELINE DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056914",
            "telephone_number": "801-475-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 S RIDGELINE DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056914",
            "telephone_number": "801-475-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELINE SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-31",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeline Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.