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CANYON SURGICAL ASSOCIATES, LLC
NPI 1073534970
Specialist in Murray, UT

Active since July 23, 2006CLIA 46D2292842 · Waiver
5171 COTTONWOOD ST, STE # 650, MURRAY, UT 84107(801) 507-9600 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canyon Surgical Associates, Llc NPPES

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

CANYON SURGICAL ASSOCIATES, LLC (NPI 1073534970) is a healthcare organization registered as a specialist in Murray, Utah and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Willem P Vanderwerf, Owner, as its authorized official.

NPPES Registry Identity

NPI1073534970
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCANYON SURGICAL ASSOCIATES, LLC
Location Address5171 COTTONWOOD ST, STE # 650Murray, UT 84107-5704
Mailing Address5171 Cottonwood St, Ste # 650Murray, UT 84107-5704 · (801) 507-9600
Phone(801) 507-9600
Organization SubpartNo
Authorized OfficialWillem P VanderwerfOwner · (801) 507-9600
Enumeration DateJuly 23, 2006
Last NPPES UpdateJanuary 4, 2010
✔ NPI 1073534970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5171 COTTONWOOD ST, Murray, UT 84107
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Other Identifiers 2

Medicare PIN000059437UT
Medicare PINDF4260UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2292842

Canyons Surgical Associates · Murray, UT
Active · expires Oct 30, 2027
CLIA Number46D2292842
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorIvan Zendejas
Laboratory Phone(801) 507-9600
Laboratory LocationCanyons Surgical Associates5171 S Cottonwood St, Ste 650, Murray, UT 84107
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

DR. ERIC SCHENFELD MD
Emergency Medicine
5171 COTTONWOOD ST, SUITE 740
MURRAY, UT 84107
Salt Lake County (801) 507-9700
DR. RICHARD H TIPPETS M.D.
Neurological Surgery
5171 COTTONWOOD ST, STE 950
MURRAY, UT 84107
Salt Lake County (801) 507-9555
DR. SHIRO FUJITA MD
Transplant Surgery
5171 COTTONWOOD ST, SUITE 650
MURRAY, UT 84107
Salt Lake County (801) 507-9600
DAWNDI REICHMAN CRNFA
Registered Nurse (Registered Nurse First Assistant)
5171 COTTONWOOD ST, STE 950
MURRAY, UT 84107
Salt Lake County (801) 507-9555
DR. DANIEL GLEN KELLER AU.D.
Audiologist
5171 COTTONWOOD ST, SOUTH OFFICE BUILDING 8TH FLOOR
MURRAY, UT 84107
Salt Lake County (801) 507-9800
MS. MENGJING HUAN M.D.
Psychiatry & Neurology (Neurology)
5171 COTTONWOOD ST, STE 810
MURRAY, UT 84107
Salt Lake County (801) 507-9800
NEUROSURGICAL ASSOCIATES LLC
Neurological Surgery
5171 COTTONWOOD ST, # 950
MURRAY, UT 84107
Salt Lake County (801) 507-9555
DAVID J KOTTER APRN
Nurse Practitioner
5171 COTTONWOOD ST, STE 950
MURRAY, UT 84107
Salt Lake County (801) 507-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon Surgical Associates, LLC's NPI number?

The NPI number for Canyon Surgical Associates, LLC is 1073534970. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Canyon Surgical Associates, LLC located?

Canyon Surgical Associates, LLC is located at 5171 Cottonwood St Ste # 650, Murray, UT 84107. The listed phone number is (801) 507-9600.

What is Canyon Surgical Associates, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Canyon Surgical Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2292842) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Canyon Surgical Associates, LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Canyon Surgical Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canyon Surgical Associates, LLC was last updated on January 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.