CENTRAL UTAH CLINIC P.C. NPI 1437205028

NPI Details

CENTRAL UTAH CLINIC, P.C. is an ambulatory surgical clinic center in American Fork, UT. CENTRAL UTAH CLINIC, P.C. NPI is 1437205028. The provider is registered as an organization entity type.
The provider Is Doing Business As Revere Health.

The provider's business location address is:

1175 E 50 S
SUITE 101
AMERICAN FORK, UT
ZIP 84003-000
Phone: (801) 492-5994
Fax: (801) 418-0899

The provider's authorized official is Jed Harston .
The authorized official title is Director Of Managed Care and has the following contact phone number (801) 812-5012.

The CLIA number assigned to this NPI record is 46D0938175 - physician office 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.

• 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)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
• Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
• Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 1/26/2007 and was last updated on 3/7/2018.

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: