RIVERWOODS SURGERY CENTER LLC NPI 1538100649

NPI Information

  • NPI: 1538100649
  • Provider Name: RIVERWOODS SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 46D1044395
  • Address: 320 RIVER PARK DR STE 125
    PROVO, UT
    ZIP 84604
  • Phone: (801) 437-4500

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NPI Details

RIVERWOODS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Provo, UT. RIVERWOODS SURGERY CENTER, LLC NPI is 1538100649. The provider is registered as an organization entity type.

The provider's business location address is:

320 RIVER PARK DR STE 125
PROVO, UT
ZIP 84604-065
Phone: (801) 437-4500
Fax: (801) 437-1400

The provider's authorized official is Kimberli Crisp .
The authorized official title is Account Manager and has the following contact phone number (801) 437-4500.

The CLIA number assigned to this NPI record is 46D1044395 - 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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Insertion of eye fluid drainage tube (HCPCS:65850)
  • Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)
  • Placement of stabilizing device to lower spine level (HCPCS:22869)
  • Release and/or relocation of hand nerve (HCPCS:64721)

The enumeration date for this NPI number is 6/9/2006 and was last updated on 7/27/2023.

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 Surgical2005ASF70230UTAHYes

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
120057023000001OTHERUTAHBCBS
2920829OTHERUTAHDMBA
3103015041101OTHERUTAHIHC
4268010OTHERUTAHALTIUS
534980OTHERUTAHHEALTHY U

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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