Active NPI
Ear, Nose & Throat Surgery Center of Utah LLC
Doing business as Intermountain Health Surgery Center - Alta View
- Ambulatory Surgical Clinic/Center
- Sandy, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC
- Doing business as
- Intermountain Health Surgery Center - Alta View
Intermountain Surgery Center - Alta View - Practice address
- 9450 S 1300 E Ste 100
Sandy, UT 84094-5555 - Phone
- (801) 924-2878
- Fax
- (801) 924-2888
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Peters
- Title
- VP Strategic Partnership
- Phone
- (303) 813-5160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
9450 S 1300 E Ste 100
Sandy, UT 84094-5555
Mailing address
9450 S 1300 E Ste 100
Sandy, UT 84094-5555
Phone (801) 924-2878
Other names 2
- Intermountain Health Surgery Center - Alta View
- Intermountain Surgery Center - Alta View
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050823000175 | UT | Part B Supplier - Ambulatory Surgical Center | 5092746784 | Practice locations: Sandy, UT |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Ear Nose and Throat Surgery Center of Utah LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2308710 | Intermountain Surgery Center - Alta View | Certificate of waiver | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Snowbasin Emergency Clinic
- Emergency Medicine Physician
- Huntsville, UT
- NPI 1255465142
Member Of
Locations
22 S 900 E
Ste 2
Salt Lake City, UT 84102
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Salt Lake City, UT
- NPI 1972980928
-
- Otolaryngology Physician
- Salt Lake City, UT
- NPI 1942313796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764028800000",
"number": "1790906204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 S 1300 E STE 100",
"city": "SANDY",
"state": "UT",
"postal_code": "840945555",
"telephone_number": "801-924-2878",
"fax_number": "801-924-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 S 1300 E STE 100",
"city": "SANDY",
"state": "UT",
"postal_code": "840945555",
"telephone_number": "801-924-2878",
"fax_number": "801-924-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "VP STRATEGIC PARTNERSHIP",
"authorized_official_telephone_number": "303-813-5160"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intermountain Health Surgery Center - Alta View",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Intermountain Surgery Center - Alta View",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.