SURGERY CENTER AT GROVE CREEK, LLC
NPI 1962007757
Clinic/Center - Ambulatory Surgical in Pleasant Grove, UT

NPI Status: Active since December 01, 2020

Contact Information

2168 W GROVE PKWY STE 101
PLEASANT GROVE, UT
ZIP 84062
Phone: (801) 772-5050

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 46D2118592
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-11-2026

About SURGERY CENTER AT GROVE CREEK, LLC

This page provides the complete NPI Profile along with additional information for Surgery Center At Grove Creek, Llc, a provider established in Pleasant Grove, Utah operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962007757 assigned on December 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Brian Shelton (Board Member)

NPI
1962007757
Provider Name
SURGERY CENTER AT GROVE CREEK, LLC
Entity Type
Organization
Location Address
2168 W GROVE PKWY STE 101 PLEASANT GROVE, UT 84062
Location Phone
(801) 772-5050
Mailing Address
2168 W GROVE PKWY STE 101 PLEASANT GROVE, UT 84062
Mailing Phone
(801) 772-5050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2020
Last Update Date
12-01-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRIAN SHELTON

Authorized Official Title
BOARD MEMBER
Authorized Official Phone
(801) 772-5050

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

This service was performed 25 times for 25 patients

Insertion of spinal neurostimulator electrode array through skin

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

This service was performed 46 times for 21 patients

Insertion of spinal neurostimulator generator or receiver

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

This service was performed 21 times for 21 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

This service was performed 14 times for 14 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2118592
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 12, 2024
Certificate Expiration Date
September 11, 2026
Laboratory Director
DANIEL HOOPES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Surgery Center At Grove Creek, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962007757, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 0 + 0 + 1 + 4 + 7 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1962007757.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
2168 W GROVE PKWY STE 101
PLEASANT GROVE, UT 84062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962007757, enumerated as an "organization" on December 01, 2020.

The provider is located at 2168 W GROVE PKWY STE 101 PLEASANT GROVE, UT 84062 and the phone number is (801) 772-5050.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.