NPIMap

Organization Active NPI

Utah Surgical Associates, Inc.

  • Specialist
  • Provo, UT
National Provider Identifier
1851450720
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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
Last updated
Jun 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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) 235-7677

15 S 1000 E
Ste 350
Payson, UT 84651
Phone (801) 465-5602

280 N Hospital Dr
Ste 5
Price, UT 84501
Phone (435) 637-4590

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

1490 E Foremaster Dr
Ste 200
St George, UT 84790
Phone (435) 528-1641

Practitioners & affiliated clinicians

Practitioners 64

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 64

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

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.

Verify at the official NPI Registry.