OrganizationActive
Tooele Urology LLC
NPI 1457599912 · Medical Specialty Clinic/Center · South Jordan, UT
Provider details
- NPI number
- 1457599912
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Urologic Surgery Associates
- Organization subpart
- Yes
- Authorized official
- Dan Hibbert, Manager(801) 822-2727
- License
- 7100427-1205 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
11179 Ivy Creek Cv
South Jordan, UT 84095-2249
Phone: (801) 822-2727
Street-level locationGet directions
Mailing address
11179 Ivy Creek Cv
South Jordan, UT 84095-2249
Registry dates
- Enumerated
- 2009-01-21
- Last updated
- 2019-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.