LAKEVIEW NEUROSURGERY CLINIC, LLC
NPI 1619919396
Neurological Surgery in Bountiful, UT

Active since June 10, 2006
620 MEDICAL DR, SUITE 300, BOUNTIFUL, UT 84010(801) 299-3871 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeview Neurosurgery Clinic, Llc NPPES

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

LAKEVIEW NEUROSURGERY CLINIC, LLC (NPI 1619919396) is a healthcare organization registered as a neurological surgery in Bountiful, Utah and active in the NPI registry since June 2006. The organization lists Jeff Rydburg, Vp, as its authorized official.

NPPES Registry Identity

NPI1619919396
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameLAKEVIEW NEUROSURGERY CLINIC, LLC
Location Address620 MEDICAL DR, SUITE 300Bountiful, UT 84010-4908
Mailing Address620 Medical Dr, Suite 300Bountiful, UT 84010-4908 · (801) 299-3871
Organization SubpartNo
Authorized OfficialJeff RydburgVp · (801) 299-3871
Enumeration DateJune 10, 2006
Last NPPES UpdateAugust 27, 2008
NPI 1619919396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
620 MEDICAL DR, Bountiful, UT 84010

Other Identifiers 2

Medicare PINDF9134
Medicare PIN000059534UT

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

Other Providers at the Same Location NPPES 20

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

Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Physician Assistant (Medical)
620 MEDICAL DR, SUITE 205
BOUNTIFUL, UT 84010
Obstetrics & Gynecology
620 MEDICAL DR, SUITE 340
BOUNTIFUL, UT 84010
Plastic Surgery (Surgery of the Hand)
620 MEDICAL DR, SUITE 310
BOUNTIFUL, UT 84010
Obstetrics & Gynecology
620 MEDICAL DR, SUITE 340
BOUNTIFUL, UT 84010
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Neurological Surgery
620 MEDICAL DR, SUITE 300
BOUNTIFUL, UT 84010

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 Lakeview Neurosurgery Clinic, LLC's NPI number?

The NPI number for Lakeview Neurosurgery Clinic, LLC is 1619919396. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Lakeview Neurosurgery Clinic, LLC located?

Lakeview Neurosurgery Clinic, LLC is located at 620 Medical Dr Suite 300, Bountiful, UT 84010. The listed phone number is (801) 299-3871.

What is Lakeview Neurosurgery Clinic, LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Lakeview Neurosurgery Clinic, LLC was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.