NPIMap

Organization Active NPI

Family Surgical Suite

  • Anesthesiology Physician
  • Murray, UT
National Provider Identifier
1811146384
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FAMILY SURGICAL SUITE
Practice address
151 E 5600 S Ste 104
Murray, UT 84107-8140
Phone
(801) 495-1064
Fax
(801) 523-1139
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Mrs. Dawn Dehart
Title
Admin.
Phone
(801) 495-1064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X UT Primary

Addresses

Primary practice location

151 E 5600 S Ste 104
Murray, UT 84107-8140

Mailing address

PO Box 2265
Sandy, UT 84091-2265
Phone (801) 495-1064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000228 UT Part B Supplier - Ambulatory Surgical Center 6901989003 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Murray, UT; West Jordan, UT

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Family Surgical Suite3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 E 5600 S
Ste 100
Salt Lake City, UT 84107
Phone (801) 833-0449

8822 S Redwood Rd
Ste 113
West Jordan, UT 84088
Phone (801) 495-1064

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1811146384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2265",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840912265",
            "telephone_number": "801-495-1064",
            "fax_number": "801-523-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 104",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078140",
            "telephone_number": "801-495-1064",
            "fax_number": "801-523-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SURGICAL SUITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "DEHART",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "ADMIN.",
        "authorized_official_telephone_number": "801-495-1064",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.