NPIMap

Organization Active NPI

South Main Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • St George, UT
National Provider Identifier
1972528537
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SOUTH MAIN SURGERY CENTER INC
Practice address
754 S Main St
Suite 3
St George, UT 84770-5505
Phone
(435) 628-2671
Fax
(435) 634-1601
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Dr. Steven Kent Burton, DPM
Title
President
Phone
(435) 628-2671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Podiatric Clinic/Center 261QP1100X

Addresses

Primary practice location

754 S Main St
Suite 3
St George, UT 84770-5505

Mailing address

754 S Main St
Suite 3
St George, UT 84770-5505
Phone (435) 628-2671

Other identifiers 1

IdentifierTypeStateIssuer
870524073001MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000084 UT Part B Supplier - Ambulatory Surgical Center 2365577798 Practice locations: St George, UT

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
South Main Surgery Center IncCCN 46C0001014
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D1103137South Main Surgery Center754 South Main Ste 3, St George, UT 84770Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1972528537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705505",
            "telephone_number": "435-628-2671",
            "fax_number": "435-634-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705505",
            "telephone_number": "435-628-2671",
            "fax_number": "435-634-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MAIN SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-628-2671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870524073001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.

Verify at the official NPI Registry.