NPIMap

Organization Active NPI

Lyssa Inc

  • Ambulatory Surgical Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1780885442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LYSSA INC
Practice address
530 E 500 S
Salt Lake City, UT 84102-2746
Phone
(801) 824-6007
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Christie McCutchan
Title
Owner
Phone
(801) 262-0807

Specialties & licenses 1

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

Addresses

Primary practice location

530 E 500 S
Salt Lake City, UT 84102-2746

Mailing address

2056 Hubbard Ave
Salt Lake City, UT 84108-1306
Phone (801) 824-6007

Other names 1

  • The Center of Surgical Arts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 46C0001048

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THE CENTER FOR SURGICAL ARTS
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Mar 5, 2008
Last certification
Jan 13, 2021
Ownership / control type
Proprietary
Facility address
530 East 500 South
Salt Lake City, UT 84102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780885442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 HUBBARD AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081306",
            "telephone_number": "801-824-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022746",
            "telephone_number": "801-824-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSSA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHAN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-262-0807",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center of Surgical Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.