WASATCH SURGICAL LLC - NPI 1053201525 - Surgery in Bountiful, UT

Q: What is Wasatch Surgical LLC's NPI number?

The NPI number for Wasatch Surgical LLC is 1053201525. It was assigned to this organization in the NPPES registry on July 7, 2025. The provider is doing business as Mackenzie Goodwin MD.

Q: What is Wasatch Surgical LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About Wasatch Surgical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WASATCH SURGICAL LLC (NPI 1053201525), doing business as Mackenzie Goodwin Md, is a healthcare organization registered as a surgery in Bountiful, Utah and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Draper and lists Mackenzie Lee Goodwin, Owner, as its authorized official.

NPPES Registry Identity

NPI1053201525

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameWASATCH SURGICAL LLC

Location Address520 MEDICAL DR STE 300Bountiful, UT 84010-8925

Mailing Address1893 E Millbrook RdSalt Lake City, UT 84106-3827 · (228) 273-9021

Phone(228) 273-9021

Organization SubpartNo

Authorized OfficialMackenzie Lee GoodwinOwner · (228) 273-9021

Enumeration DateJuly 7, 2025

NPPES CertifiedJuly 7, 2025

✔ NPI 1053201525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

520 MEDICAL DR STE 300, Bountiful, UT 84010

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Other Names 1

Doing Business AsMackenzie Goodwin Md

Secondary Practice Location 1

Location 174 Kimballs Lane, Bldg 2, Suite 260Draper, UT 84020 · Phone (228) 273-9021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM C DRAPER DO

Family Medicine