OrganizationActive
Western Anesthesia Associates LLC
NPI 1174566277 · Anesthesiology Physician · Bountiful, UT
Provider details
- NPI number
- 1174566277
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- E. Larsen, President(801) 299-2160
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
630 Medical Dr
Bountiful, UT 84010-4908
Phone: (801) 299-2160
Fax: (801) 299-2549
Street-level locationGet directions
Mailing address
Po Box 3810
Salt Lake City, UT 84110-3810
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2009-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.