PREMIER PLASTIC SURGERY GROUP OF UTAH
NPI 1689906976
Surgery - Plastic and Reconstructive Surgery in Draper, UT

Q: What is Premier Plastic Surgery Group Of Utah's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since February 11, 2010

11762 S STATE ST STE 220, DRAPER, UT 84020(801) 571-2020(801) 571-6899 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Premier Plastic Surgery Group Of Utah NPPES

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

PREMIER PLASTIC SURGERY GROUP OF UTAH (NPI 1689906976) is a healthcare organization registered as a plastic and reconstructive surgery in Draper, Utah and active in the NPI registry since February 2010. The organization lists Stephanie White, Secretary, as its authorized official.

NPPES Registry Identity

NPI1689906976

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NamePREMIER PLASTIC SURGERY GROUP OF UTAH

Location Address11762 S STATE ST STE 220Draper, UT 84020-7156

Mailing Address11762 S State St Ste 220Draper, UT 84020-7156 · (801) 571-2020 · Fax (801) 571-6899

Phone(801) 571-2020

Fax(801) 571-6899

Organization SubpartNo

Authorized OfficialStephanie WhiteSecretary · (801) 571-2020

Enumeration DateFebruary 11, 2010

Last NPPES UpdateJanuary 19, 2011

✔ NPI 1689906976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

11762 S STATE ST STE 220, Draper, UT 84020

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Other Identifiers 6

Medicaid529316986001UT

Medicaid528276851028UT

Medicare PINUT03528UT

Medicare PIN000057752UT

Medicare PIN000062982

Medicare PIN005775201UT

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 BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Other Providers at the Same Location NPPES 3

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

PAUL ALMA WATTERSON MD

Plastic Surgery

11762 S STATE ST STE 220
DRAPER, UT 84020

Salt Lake County (801) 571-2020

DR. NICHOLAS KAY HOWLAND M.D.

Plastic Surgery

11762 S STATE ST STE 220
DRAPER, UT 84020

Salt Lake County (801) 571-2020

RICHARD H FRYER MD

Plastic Surgery

11762 S STATE ST STE 220
DRAPER, UT 84020

Salt Lake County (801) 571-2020

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 Premier Plastic Surgery Group Of Utah's NPI number?

The NPI number for Premier Plastic Surgery Group Of Utah is 1689906976. It was assigned to this organization in the NPPES registry on February 11, 2010.

Where is Premier Plastic Surgery Group Of Utah located?

Premier Plastic Surgery Group Of Utah is located at 11762 S State St Ste 220, Draper, UT 84020. The listed phone number is (801) 571-2020.

What is Premier Plastic Surgery Group Of Utah's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

What insurance does Premier Plastic Surgery Group Of Utah accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Premier Plastic Surgery Group Of Utah 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 Premier Plastic Surgery Group Of Utah was last updated on January 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.