OrganizationActive
Surgical Synergy, LLC
NPI 1124489968 · Physician Assistant · Cottonwood Heights, UT
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
Established profile(72/100 index)
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
1265 E Fort Union Blvd Ste 120
Cottonwood Heights, UT 84047-1845
Phone: (801) 917-5561
Fax: (801) 572-9992
Street-level locationGet directions
Mailing address
1265 E Fort Union Blvd Ste 120
Cottonwood Heights, UT 84047-1845
Other names (DBA / former)
- Doing business as
- Happiness Effect
Registry dates
- Enumerated
- 2016-03-07
- Last updated
- 2025-07-08
- Certified
- 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.