FAMILY SURGICAL SUITE (NPI# 1508040221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508040221 |
| Entity Type | Organization |
| Organization Name | FAMILY SURGICAL SUITE |
| Practice Address |
8822 S Redwood Rd Suite 113 West Jordan UT 84088-9336 |
| Practice Telephone | 8014951064 |
| Practice Fax Number | 8015231139 |
| Mailing Telephone | 8014951064 |
| Mailing Fax Number | 8015231139 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | MR. BRIAN JAN DEHART (MANAGING MEMBER) |
| Authorized Official Telephone | 8014951064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083861165 | Family Surgical Suite | Clinic/Center | 151 E 5600 S Ste 104, Murray, UT 84107-8140 | 2008-08-20 |
| 1811146384 | Family Surgical Suite | Anesthesiology | 151 E 5600 S Ste 104, Murray, UT 84107-8140 | 2008-09-09 |
| Street Address |
8822 S REDWOOD RD SUITE 113 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-9336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629038716 | Duane A Bates | Physician Assistant | 8822 S Redwood Rd, Suite E122, West Jordan, UT 84088-9336 | 2006-03-24 |
| 1518239177 | Utah Podiatry Group PC | Podiatrist | 8822 S Redwood Rd, Suite E121, West Jordan, UT 84088-9336 | 2012-01-29 |
| 1548545338 | Biomechanics Institute Pllc | Podiatrist | 8822 S Redwood Rd, Suite C211, West Jordan, UT 84088-9336 | 2011-10-12 |
| 1801186838 | Molly Montes | Pediatrics | 8822 S Redwood Rd, Ste C211, West Jordan, UT 84088-9336 | 2011-04-11 |
| 1255621280 | Scott R Hollingsworth | Podiatrist | 8822 S Redwood Rd, Suite C211, West Jordan, UT 84088-9336 | 2011-04-11 |
| 1225358765 | Utah-mua | Clinic/Center | 8822 S Redwood Rd, Suite C113, West Jordan, UT 84088-9336 | 2010-06-07 |
| 1093033250 | Numb Institute, LLC | Specialist | 8822 S Redwood Rd, Suite C113, West Jordan, UT 84088-9336 | 2010-05-12 |
| 1740508902 | Ut-mua, Inc. | Clinic/Center | 8822 S Redwood Rd, Suite C113, West Jordan, UT 84088-9336 | 2010-05-12 |
| 1467775403 | Jeffrey Michael Pollock | Physician Assistant | 8822 S Redwood Rd, Suite C111, West Jordan, UT 84088-9336 | 2010-03-04 |
| 1770812034 | Utah Pain Relief North LLC | Clinic/Center | 8822 S Redwood Rd, West Jordan, UT 84088-9336 | 2009-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891347597 | Utah Intermountain Surgical Center LLC | Clinic/Center | 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 | 2019-07-12 |
| 1518513407 | Utah Intermountain Anestesia | Clinic/Center | 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 | 2019-08-15 |
| 1225358765 | Utah-mua | Clinic/Center | 8822 S Redwood Rd, Suite C113, West Jordan, UT 84088-9336 | 2010-06-07 |
| 1740508902 | Ut-mua, Inc. | Clinic/Center | 8822 S Redwood Rd, Suite C113, West Jordan, UT 84088-9336 | 2010-05-12 |
| 1770812034 | Utah Pain Relief North LLC | Clinic/Center | 8822 S Redwood Rd, West Jordan, UT 84088-9336 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037703 | Cache Valley Surgery Center, LLC | Clinic/Center | 630 E 1400 N Ste 120, Logan, UT 84341-2691 | 2020-06-09 |
| 1285255133 | Creek Capital Surgical Arts | Clinic/Center | 1275 E Fort Union Blvd Ste 100, Midvale, UT 84047-1890 | 2020-05-01 |
| 1639704208 | Salt Lake Surgery Center, LLC | Clinic/Center | 1046 E 100 S Ste D, Salt Lake City, UT 84102-1520 | 2020-03-04 |
| 1326512070 | Richfield Surgery Center, LLC | Clinic/Center | 860 N Main St Ste A, Richfield, UT 84701-1840 | 2019-01-16 |
| 1104301613 | Logan Surgical Suites LLC | Clinic/Center | 55 East Golf Course Road, Logan, UT 84321-0001 | 2018-10-01 |
| 1225510159 | Southwest Surgery Center LLC | Clinic/Center | 161 W 200 N Ste 105, Saint George, UT 84770-7386 | 2018-09-06 |
| 1548754427 | Union Park Surgical Center LLC | Clinic/Center | 7001 S 900 E Ste 100, Midvale, UT 84047-1700 | 2018-06-14 |
| 1982101515 | Surgical Specialists LLC | Clinic/Center | 10 W Scenic Pointe Dr Ste 102, Draper, UT 84020-6124 | 2018-04-10 |
| 1760939367 | Utah Valley Surgery Center, LLC | Clinic/Center | 2168 West Grove Parkway, Suite 101, Pleasant Grove, UT 84062-6711 | 2016-09-01 |
| 1346611035 | Surgical Specialties LLC | Clinic/Center | 2940 N Church St, Layton, UT 84040-6614 | 2015-10-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.