Park Terrace Surgical Associates LLC
NPI 1053924209 · Ambulatory Surgical Clinic/Center · Salt Lake City, UT
Park Terrace Surgical Associates LLC is a Ambulatory Surgical Clinic/Center organization in Salt Lake City, UT (NPI 1053924209).
Provider details
- NPI number
- 1053924209
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Wardle, Ceo(801) 261-2000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-27
- Last updated
- 2020-08-27
- Certified
- 2020-08-27
Frequently asked questions
- What is Park Terrace Surgical Associates LLC's NPI number?
- Park Terrace Surgical Associates LLC's National Provider Identifier (NPI) is 1053924209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Terrace Surgical Associates LLC?
- Park Terrace Surgical Associates LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Park Terrace Surgical Associates LLC located?
- Park Terrace Surgical Associates LLC's practice location on file with NPPES is 650 E 4500 S Ste 100, Salt Lake City, UT 84107-4536.
- What is Park Terrace Surgical Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Park Terrace Surgical Associates LLC is (801) 261-2000.
- Who is the authorized official for Park Terrace Surgical Associates LLC?
- The authorized official listed on Park Terrace Surgical Associates LLC's NPPES record is Thomas Wardle, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Terrace Surgical Associates LLC's NPI active?
- Yes — Park Terrace Surgical Associates LLC's NPI (1053924209) is active in the NPPES registry as of the last update on 2020-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.