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

Active since December 01, 2020CLIA 46D2118592 · Waiver
2168 W GROVE PKWY STE 101, PLEASANT GROVE, UT 84062(801) 772-5050 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgery Center At Grove Creek, Llc NPPES

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

SURGERY CENTER AT GROVE CREEK, LLC (NPI 1962007757) is a healthcare organization registered as an ambulatory surgical in Pleasant Grove, Utah and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Brian Shelton, Board Member, as its authorized official.

NPPES Registry Identity

NPI1962007757
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER AT GROVE CREEK, LLC
Location Address2168 W GROVE PKWY STE 101Pleasant Grove, UT 84062-6745
Mailing Address2168 W Grove Pkwy Ste 101Pleasant Grove, UT 84062-6745 · (801) 772-5050
Organization SubpartNo
Authorized OfficialBrian SheltonBoard Member · (801) 772-5050
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
NPI 1962007757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2168 W GROVE PKWY STE 101, Pleasant Grove, UT 84062

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 46D2118592

Surgery Center At Grove Creek · Pleasant Grove, UT
Active · expires Sep 11, 2026
CLIA Number46D2118592
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorDaniel Hoopes
Laboratory Phone(801) 772-5050
Laboratory LocationSurgery Center At Grove Creek2168 West Grove Parkway, Suite #101, Pleasant Grove, UT 84062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
2,128 services16 patients
Insertion of spinal neurostimulator electrode array through skin 63650
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.
84 services36 patients
Insertion or replacement of spinal neurostimulator generator or receiver 63685
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.
38 services37 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
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.
17 services17 patients
Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628
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.
17 services16 patients

Other Providers at the Same Location NPPES

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

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

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 Surgery Center At Grove Creek, LLC's NPI number?

The NPI number for Surgery Center At Grove Creek, LLC is 1962007757. It was assigned to this organization in the NPPES registry on December 1, 2020.

Where is Surgery Center At Grove Creek, LLC located?

Surgery Center At Grove Creek, LLC is located at 2168 W Grove Pkwy Ste 101, Pleasant Grove, UT 84062. The listed phone number is (801) 772-5050.

What is Surgery Center At Grove Creek, LLC's specialty?

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

Does Surgery Center At Grove Creek, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2118592) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgery Center At Grove Creek, LLC was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.