Surgical Weight Loss Specialists PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL WEIGHT LOSS SPECIALISTS PLLC

Practice address

1046 E 100 S
Salt Lake City, UT 84102-1520

Phone

(855) 655-7389

Fax

(801) 931-2044

NPI assigned

May 16, 2022

Organization subpart

No

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

Authorized official

Name

Daniel R Cottam, MDNPI 1760574776

Title

Owner/Provider

Phone

(855) 655-7389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Mooers, M.D.

  • Surgery Physician
  • Salt Lake City, UT
  • NPI 1225417280
  Medicare reassignment NPD
• Daniel Rhead Cottam, M.D.

  • Surgery Physician
  • Salt Lake City, UT
  • NPI 1760574776
  NPD Authorized official

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1942947502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 E 100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021520",
            "telephone_number": "855-655-7389",
            "fax_number": "801-931-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 E 100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021520",
            "telephone_number": "855-655-7389",
            "fax_number": "801-931-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL WEIGHT LOSS SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "COTTAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "855-655-7389",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine P Supiano, LCSW
• Mark Andrew Supiano, M.D.
• Sara A Supinski, L.A.C.
• Nuttanun Suramaethakul, MD
• Surgical Care Associates
• Natalie Surut, PT, DPT
• Amit Surve, MD
• Survive & Thrive Therapy Services, PLLC
• Mandy Susaeta
• Susan Curtis, CMHC, PC

• Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.