NORTHPOINTE SURGICAL CENTER LLC NPI 1255676920

NPI Information

  • NPI: 1255676920
  • Provider Name: NORTHPOINTE SURGICAL CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 46D2067524
  • Address: 2326 N 400 E STE 100
    TOOELE, UT
    ZIP 84074
  • Phone: (435) 843-0180

Map and Directions

Get Directions

NPI Details

NORTHPOINTE SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Tooele, UT. NORTHPOINTE SURGICAL CENTER, LLC NPI is 1255676920. The provider is registered as an organization entity type.

The provider's business location address is:

2326 N 400 E STE 100
TOOELE, UT
ZIP 84074-460
Phone: (435) 843-0180
Fax: (435) 843-0181

The provider's authorized official is Combs Jo Melody .
The authorized official title is Administrator and has the following contact phone number (435) 843-0180.

The CLIA number assigned to this NPI record is 46D2067524 - 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.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 12/6/2012 and was last updated on 3/7/2023.

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 SurgicalUTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16806D882440OTHERUTAHGENERAL LIABILITY
246C0001058OTHERUTAHMEDICARE CERTIFICATION NUMBER
3U000086465OTHERUTAHNORIDIAN PTAN NUMBER
42014-ASF-UT000647OTHERUTAHPROFESSIONAL LICENSE
5103541OTHERUTAHAAAHC - ACCREDITATION
68929365-17014OTHERUTAHPROFESSIONAL LICENSE PHARMACY CLASS B
76194OTHERUTAHBUSINESS LICENSE - TOOELE
84310OTHERUTAHX-RAY LICENSE NUMBER
946D2067524OTHERUTAHCLIA
108929365-8913OTHERUTAHPROFESSIONAL LICENSE CONTROLLED SUBSTANCE LICENSE
11UT900010OTHERUTAHMEDICAL MALPRACTICE

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI