Active NPI
Utah Surgical Associates, Inc.
- Specialist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- UTAH SURGICAL ASSOCIATES, INC.
- Practice address
- 3550 N University Ave Ste 250
Provo, UT 84604-6685 - Phone
- (801) 374-9625
- Fax
- (801) 374-9690
- NPI assigned
- Dec 7, 2006
- 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
- Mr. Geoff Schwiermann
- Title
- Administrator
- Phone
- (801) 374-9625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3550 N University Ave Ste 250
Provo, UT 84604-6685
Mailing address
3550 N University Ave Ste 250
Provo, UT 84604-6685
Phone (801) 374-9625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050908000912 | UT | Part B Supplier - Clinic/Group Practice | 4486686698 |
Receives reassigned benefits from 62 practitioners Practice locations: American Fork, UT; Lehi, UT; Payson, UT; Provo, UT; Saint George, UT |
National Provider Directory
National Provider DirectoryLocations
1248 E 90 N
Ste 102
American Fork, UT 84003
Phone (801) 756-9132
1248 E 90 N
Ste 103
American Fork, UT 84003
Phone (801) 852-9560
166 W 1325 N
Ste 200
Cedar City, UT 84721
Phone (352) 630-5754
3000 N Triumph Blvd
Ste 250
Lehi, UT 84043
Phone (801) 619-9000
15 S 1000 E
Ste 350
Payson, UT 84651
Phone (801) 465-5602
1055 N 300 W
Ste 101
Provo, UT 84604
Phone (801) 852-3459
692 E Market Place Dr
Ste 202
Spanish Fork, UT 84660
Phone (801) 852-3230
Practitioners & affiliated clinicians
Practitioners 64
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560816000000",
"number": "1851450720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 N UNIVERSITY AVE STE 250",
"city": "PROVO",
"state": "UT",
"postal_code": "846046685",
"telephone_number": "801-374-9625",
"fax_number": "801-374-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 N UNIVERSITY AVE STE 250",
"city": "PROVO",
"state": "UT",
"postal_code": "846046685",
"telephone_number": "801-374-9625",
"fax_number": "801-374-9690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UTAH SURGICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-07",
"last_updated": "2019-06-18",
"status": "A",
"authorized_official_last_name": "SCHWIERMANN",
"authorized_official_first_name": "GEOFF",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "801-374-9625",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
- Utah Psychological Associates, LLC
- Utah Sleep Medicine Center
- Utah State Hospital
- Utah State Hospital Pharmacy
- Utah Surgical Arts
- Utah Valley Clinical Evaluation Physicians LC
- Utah Valley Emergency Physicians Inc
- Utah Valley Eye Center Inc
- Utah Valley Eye Center Inc
- Utah Valley Family Medicine Residency
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.