NPIMap

Organization Active NPI

Physicians Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Murray, UT
National Provider Identifier
1811954886
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
PHYSICIANS SURGICAL CENTER
Practice address
151 E 5600 S
Suite 104
Murray, UT 84107-6181
Phone
(801) 288-1211
Fax
(801) 685-2242
NPI assigned
Apr 26, 2006
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
Brian J Dehart
Title
Owner/President
Phone
(801) 816-1187

Specialties & licenses 1

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

Addresses

Primary practice location

151 E 5600 S
Suite 104
Murray, UT 84107-6181

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
864951MedicaidAZ

Other names 1

  • Family Surgical Suite Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Surgical Suite2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811954886",
    "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",
            "address_2": "SUITE 104",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076181",
            "telephone_number": "801-288-1211",
            "fax_number": "801-685-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEHART",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-816-1187"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "864951",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Surgical Suite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.