Surgical Synergy, LLC
NPI 1124489968 · Physician Assistant · Cottonwood Heights, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgical Synergy, LLC is a Physician Assistant organization in Cottonwood Heights, UT (NPI 1124489968).
Provider details
- NPI number
- 1124489968
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Surgical Synergy, LLC
- Organization subpart
- Yes
- Authorized official
- Stephanie Boulter, Manager(801) 995-1235
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Other names (DBA / former)
- Doing business as
- Happiness Effect
Registry dates
- Enumerated
- 2016-03-07
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Frequently asked questions
- What is Surgical Synergy, LLC's NPI number?
- Surgical Synergy, LLC's National Provider Identifier (NPI) is 1124489968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgical Synergy, LLC?
- Surgical Synergy, LLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Surgical Synergy, LLC located?
- Surgical Synergy, LLC's practice location on file with NPPES is 1265 E Fort Union Blvd Ste 120, Cottonwood Heights, UT 84047-1845.
- What is Surgical Synergy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgical Synergy, LLC is (801) 917-5561.
- Does Surgical Synergy, LLC accept Medicare?
- Surgical Synergy, 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 Surgical Synergy, LLC?
- The authorized official listed on Surgical Synergy, LLC's NPPES record is Stephanie Boulter, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgical Synergy, LLC's NPI active?
- Yes — Surgical Synergy, LLC's NPI (1124489968) is active in the NPPES registry as of the last update on 2025-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.