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PARK TERRACE SURGICAL ASSOCIATES LLC
NPI 1053924209
Clinic/Center - Ambulatory Surgical in Salt Lake City, UT

Active since August 27, 2020
650 E 4500 S STE 100, SALT LAKE CITY, UT 84107(801) 261-2000(801) 261-4539 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Park Terrace Surgical Associates Llc NPPES

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

PARK TERRACE SURGICAL ASSOCIATES LLC (NPI 1053924209) is a healthcare organization registered as an ambulatory surgical in Salt Lake City, Utah and active in the NPI registry since August 2020. The organization lists Thomas Wardle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053924209
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePARK TERRACE SURGICAL ASSOCIATES LLC
Location Address650 E 4500 S STE 100Salt Lake City, UT 84107-4536
Mailing Address650 E 4500 S Ste 100Salt Lake City, UT 84107-4536 · (801) 261-2000 · Fax (801) 261-4539
Phone(801) 261-2000
Fax(801) 261-4539
Organization SubpartNo
Authorized OfficialThomas WardleCeo · (801) 261-2000
Enumeration DateAugust 27, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1053924209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
650 E 4500 S STE 100, Salt Lake City, UT 84107
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Other Providers at the Same Location NPPES 7

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

PHILIP JOHN SWINK PA-C
Physician Assistant
650 E 4500 S STE 100
MURRAY, UT 84107
Salt Lake County (801) 281-0027
JBR SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Salt Lake County (801) 261-2000
PARK TERRACE SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Salt Lake County (801) 261-2000
PARK TERRACE ANESTHESIA ASSOCIATES LLC
Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Salt Lake County (801) 261-2000
JOSHUA RICHARD FELT CRNA
Nurse Anesthetist, Certified Registered
650 E 4500 S STE 100
MURRAY, UT 84107
Salt Lake County (801) 261-2000
JBR ANESTHESIA ASSOCIATES LLC
Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Salt Lake County (801) 261-2000
WILLOW BEND SURGICAL CENTER
Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Salt Lake County (801) 450-6940

Frequently Asked Questions

What is PARK TERRACE SURGICAL ASSOCIATES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1053924209, enumerated as an "organization" on August 27, 2020.

Where is the provider located?

The provider is located at 650 E 4500 S STE 100 SALT LAKE CITY, UT 84107 and the phone number is (801) 261-2000.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.