EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC – NPI #1790906204
Clinic/Center

EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC is an AHC clinic located in SANDY, UT. NPPES has assigned the NPI number 1790906204 to EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC on May 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Nov 25, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC below.

NPI Profile for
EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC

NPI Number
1790906204
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC
Other name(s)
All associated names:
Doing Business As (dba)
Intermountain Health Surgery Center - Alta View
Doing Business As (dba)
Intermountain Surgery Center - Alta View
Primary location
9450 S 1300 E STE 100
SANDY, UT 84094-5555
Phone: (801) 924-2878 Fax: (801) 924-2888
1 Other location(s):
22 S 900 E Ste 2
Salt Lake City, UT 84102-1307
Phone: (801) 328-2522
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEREMY PETERS
VP STRATEGIC PARTNERSHIP
Phone: (303) 813-5160
Updated
Certification Date
Nov 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.