Cache Valley Surgical Consultants, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5215595-1204 Issued in UT

Legal business name

CACHE VALLEY SURGICAL CONSULTANTS, PC

Practice address

2380 N 400 E Ste E
North Logan, UT 84341-1767

Phone

(435) 752-7123

Fax

(435) 755-9579

NPI assigned

Mar 18, 2008

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott W Grover, D.O.NPI 1609860600

Title

Physician / Owner

Phone

(435) 752-7123

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, and the practitioner matching its NPPES authorized official.

• Scott W Grover, D.O.

  • Surgery Physician
  • North Logan, UT
  • NPI 1609860600
  Medicare reassignment NPD Authorized official
• Lee S Broadbent, MD

  • Surgery Physician
  • Logan, UT
  • NPI 1265467567
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1982875878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 N 400 E STE E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411767",
            "telephone_number": "435-752-7123",
            "fax_number": "435-755-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N 400 E STE E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411767",
            "telephone_number": "435-752-7123",
            "fax_number": "435-755-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE VALLEY SURGICAL CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "435-752-7123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "5215595-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cache Valley Ear Nose & Throat, PLLC (Cache Valley Ear Nose and Throat.)
• Cache Valley Hand Therapy LLC
• Cache Valley Pharmacare LLC (Cache Valley Pharmacy)
• Cache Valley Pharmacare LLC (Cache Valley Pharmacy)
• Cache Valley Specialty Hospital
• Camille Webb LLC
• Curtis Ray Canning, M.D.
• Cannon Chiropractic LLC (Stevens Chiropractic Clinic)
• Jenny Christensen
• Jason M Christiansen, DPT

• Surgery Physician in North Logan, UT
• Providers in North Logan, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.