Active NPI
Wasatch Endoscopy Center LTD
- Ambulatory Surgical Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1881701290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 2006-ASF-769
- Legal business name
- WASATCH ENDOSCOPY CENTER LTD
- Practice address
- 1220 E 3900 S Ste 1B
Salt Lake City, UT 84124-1327 - Phone
- (801) 281-3657
- Fax
- (801) 281-4258
- NPI assigned
- Aug 23, 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
- David McKnight
- Title
- VP/Cfo
- Phone
- (972) 789-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 2006-ASF-769 | UT | Primary |
Addresses
Primary practice location
1220 E 3900 S Ste 1B
Salt Lake City, UT 84124-1327
Mailing address
1220 E 3900 S Ste 1B
Salt Lake City, UT 84124-1327
Phone (801) 281-3657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080619000095 | UT | Part B Supplier - Ambulatory Surgical Center | 6406927417 | Practice locations: Salt Lake City, UT |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Wasatch Endoscopy Center LTD
- 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 |
|---|---|---|---|
| 46D0950188 | Wasatch Endoscopy Center | Certificate of waiver | Aug 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
1220 E 3900 S
Ste 1B
Salt Lake Cty, UT 84124
Phone (801) 281-3657
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Salt Lake City, UT
- NPI 1982631123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1881701290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E 3900 S STE 1B",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241327",
"telephone_number": "801-281-3657",
"fax_number": "801-281-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E 3900 S STE 1B",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241327",
"telephone_number": "801-281-3657",
"fax_number": "801-281-4258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASATCH ENDOSCOPY CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP/CFO",
"authorized_official_telephone_number": "972-789-2816"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "UT",
"license": "2006-ASF-769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.