Northern Utah Surgicenter, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHERN UTAH SURGICENTER, LLC

Doing business as

Advanced Surgery Center of Northern Utah

Practice address

55 E Golf Course Rd
Logan, UT 84321-0001

Phone

(435) 787-7190

Fax

(435) 787-7197

NPI assigned

Jul 22, 2025

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Advanced Surgery Center of Northern Utah Doing business as

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

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1750263745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E GOLF COURSE RD",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843210001",
            "telephone_number": "435-787-7190",
            "fax_number": "435-787-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E GOLF COURSE RD",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843210001",
            "telephone_number": "435-787-7190",
            "fax_number": "435-787-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "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": "Advanced Surgery Center of Northern Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northern Utah Endoscopy Center
• Northern Utah Eye Center
• Northern Utah Gastroenterology and Endoscopy Specialists LLC
• Northern Utah Pathology PC
• Northern Utah Surgery Center, LLC
• Northern Valley Family Medicine
• Northland Hearing Centers Inc (All American Hearing)
• Haylee Schultz Nunez
• Sage Nyman, PA
• Bruce A O'Very, MD

• Ambulatory Surgical Clinic/Center in Logan, UT
• Providers in Logan, 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 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.