Logan Surgical Suites LLC
NPI 1104301613 · Ambulatory Surgical Clinic/Center · Logan, UT
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Logan Surgical Suites LLC is a Ambulatory Surgical Clinic/Center organization in Logan, UT (NPI 1104301613).
Provider details
- NPI number
- 1104301613
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marielle Whitlock, Administrator(435) 760-3734
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
9,250 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection, Bupivacaine Liposome, 1 MgC9290 | 9,046 | $1 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 63 | $8,510 |
| Release And/Or Relocation of Hand Nerve64721 | 31 | $743 |
| Incision of Tendon Covering of Finger26055 | 27 | $513 |
| Heat Destruction of Intraosseous Basivertebral Nerve in Bones of Spine in Lower Back, First Two Bones64628 | 20 | $8,837 |
| Anchoring of Biceps Tendon23430 | 17 | $3,945 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Surgery Center of Northern Utah
- Doing business as
- Advanced Surgery Center of Northern Utah
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2021-09-23
- Certified
- 2021-09-23
Frequently asked questions
- What is Logan Surgical Suites LLC's NPI number?
- Logan Surgical Suites LLC's National Provider Identifier (NPI) is 1104301613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Logan Surgical Suites LLC?
- Logan Surgical Suites LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Logan Surgical Suites LLC located?
- Logan Surgical Suites LLC's practice location on file with NPPES is 55 East Golf Course Road, Logan, UT 84321-0001.
- What is Logan Surgical Suites LLC's phone number?
- The practice phone number listed in the NPPES registry for Logan Surgical Suites LLC is (435) 760-3734.
- Does Logan Surgical Suites LLC accept Medicare?
- Logan Surgical Suites LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Logan Surgical Suites LLC?
- The authorized official listed on Logan Surgical Suites LLC's NPPES record is Marielle Whitlock, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Logan Surgical Suites LLC's NPI active?
- Yes — Logan Surgical Suites LLC's NPI (1104301613) is active in the NPPES registry as of the last update on 2021-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.