Northern Utah Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHERN UTAH SURGERY CENTER, LLC

Practice address

55 E Golf Course Rd
Logan, UT 84321-0001

Phone

(435) 787-7190

NPI assigned

Nov 30, 2020

Last updated

Nov 30, 2020By 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

Mr. Brian Shelton

Title

Board Member

Phone

(435) 787-7190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1770188740",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "435-787-7190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Logan PDC PLLC (Platinum Dental Care)
• Northern Utah Endoscopy Center
• Northern Utah Eye Center
• Northern Utah Gastroenterology and Endoscopy Specialists LLC
• Northern Utah Pathology PC
• Northern Utah Surgicenter, LLC (Advanced Surgery Center of Northern Utah)
• Northern Valley Family Medicine
• Northland Hearing Centers Inc (All American Hearing)
• Haylee Schultz Nunez
• Sage Nyman, PA

• 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 Nov 30, 2020; 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.