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PARK CITY SURGERY CENTER LLC
NPI 1407584592
Clinic/Center - Ambulatory Surgical in Park City, UT

Active since August 08, 2022CLIA 46D2272003 · Waiver
800 ROUND VALLEY DR, PARK CITY, UT 84060(435) 658-7000 Get Directions Write a Review

NPPES record last updated: November 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 25, 2022, Aug 16, 2022, Aug 8, 2022 (3 updates tracked since 2022).

About Park City Surgery Center Llc NPPES

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

PARK CITY SURGERY CENTER LLC (NPI 1407584592) is a healthcare organization registered as an ambulatory surgical in Park City, Utah and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Lori Weston, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407584592
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePARK CITY SURGERY CENTER LLC
Location Address800 ROUND VALLEY DRPark City, UT 84060-7521
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Phone(435) 658-7000
Organization SubpartNo
Authorized OfficialLori WestonAdministrator · (435) 658-7000
Enumeration DateAugust 8, 2022
Last NPPES UpdateNovember 25, 20223 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1407584592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
800 ROUND VALLEY DR, Park City, UT 84060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, 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 46D2272003

Park City Surgery Center, LLC · Park City, UT
Active · expires Nov 13, 2026
CLIA Number46D2272003
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDr Tim Beals
Laboratory Phone(385) 441-1906
Laboratory LocationPark City Surgery Center, LLC800 Round Valley Drive, Park City, UT 84060
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
20,617 services154 patients
Partial removal of collar bone at shoulder using an endoscope 29824
This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.
72 services71 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
56 services56 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
41 services38 patients
Release of tendon connecting biceps muscle and shoulder using an endoscope 29828
This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.
36 services36 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
31 services29 patients

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 Park City Surgery Center LLC's NPI number?

The NPI number for Park City Surgery Center LLC is 1407584592. It was assigned to this organization in the NPPES registry on August 8, 2022.

Where is Park City Surgery Center LLC located?

Park City Surgery Center LLC is located at 800 Round Valley Dr, Park City, UT 84060. The listed phone number is (435) 658-7000.

What is Park City Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Park City Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2272003) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Park City Surgery Center LLC accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Park City Surgery Center 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 Park City Surgery Center LLC was last updated on November 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.