ST MARKS AMBULATORY SURGERY ASSOCIATES LP NPI 1174587984

NPI Information

  • NPI: 1174587984
  • Provider Name: ST MARKS AMBULATORY SURGERY ASSOCIATES LP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: MT. OLYMPUS SURGERY CENTER
  • CLIA Number: 46D0720995
  • Address: 1250 E 3900 S
    SUITE 100
    SALT LAKE CITY, UT
    ZIP 84124
  • Phone: (801) 262-0358

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NPI Details

ST MARKS AMBULATORY SURGERY ASSOCIATES LP is an ambulatory surgical clinic center in Salt Lake City, UT. ST MARKS AMBULATORY SURGERY ASSOCIATES LP NPI is 1174587984. The provider is registered as an organization entity type.
The provider Is Doing Business As Mt. Olympus Surgery Center.

The provider's business location address is:

1250 E 3900 S
SUITE 100
SALT LAKE CITY, UT
ZIP 84124-348
Phone: (801) 262-0358
Fax: (801) 262-0901

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

The CLIA number assigned to this NPI record is 46D0720995 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg (HCPCS:Q9968)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Insertion of needle or tube into prostate for radiation therapy (HCPCS:55875)
  • Complex application of radiation source (HCPCS:77778)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Partial removal of breast (HCPCS:19301)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Placement of device in prostate for radiation therapy (HCPCS:55876)
  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Repair of groin hernia using an endoscope (HCPCS:49650)

The enumeration date for this NPI number is 4/17/2006 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical2005ASF519UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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