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MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC
NPI 1093996167
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Orem, UT

Active since November 16, 2007
698 W 800 N, SUITE #210, OREM, UT 84057(801) 714-6412(801) 714-6413 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountainstar Cardiovascular Services Llc NPPES

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

MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC (NPI 1093996167) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Orem, Utah and active in the NPI registry since November 2007. The organization lists Kirt L. Peterson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093996167
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameMOUNTAINSTAR CARDIOVASCULAR SERVICES LLC
Location Address698 W 800 N, SUITE #210Orem, UT 84057-3658
Mailing Address698 W 800 N, Suite #210Orem, UT 84057-3658 · (801) 714-6412 · Fax (801) 714-6413
Phone(801) 714-6412
Fax(801) 714-6413
Organization SubpartNo
Authorized OfficialKirt L. PetersonAdministrator · (801) 743-4750
Enumeration DateNovember 16, 2007
✔ NPI 1093996167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
698 W 800 N, Orem, UT 84057
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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

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 Mountainstar Cardiovascular Services LLC's NPI number?

The NPI number for Mountainstar Cardiovascular Services LLC is 1093996167. It was assigned to this organization in the NPPES registry on November 16, 2007.

Where is Mountainstar Cardiovascular Services LLC located?

Mountainstar Cardiovascular Services LLC is located at 698 W 800 N Suite #210, Orem, UT 84057. The listed phone number is (801) 714-6412.

What is Mountainstar Cardiovascular Services LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Mountainstar Cardiovascular Services LLC was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.