Organization · Type 2 NPI

Vineyard Surgery Center, LLC

Certified Registered Nurse Anesthetist · Vineyard, UT

NPI number 1245151885 Active

Practice location

691 E 400 N Ste 100
Vineyard, UT 84059-7509

Call (385) 327-0930 Map

Fax (385) 327-0931

Mailing address

PO Box 912042
St. George, UT 84791-2042

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist Primary	367500000X	None listed

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

Another provider at this address

Vineyard Surgery Center, LLCAmbulatory Surgical Clinic/Center Vineyard, UT NPI 1821759705

NPI record

NPI: 1245151885
Entity type: Organization (Type 2)
Issued: Jul 21, 2026
Last updated: Jul 21, 2026
Status: Active
Subpart: Yes of Vineyard Surgery Center, LLC

Other names

Vineyard Medical Group · doing business as

Authorized official

Ashley Pfatenhauer
Credentialing/contracting Manager
(435) 215-0230

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1245151885

Vineyard Surgery Center, LLC's National Provider Identifier is 1245151885, issued on Jul 21, 2026. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Vineyard, UT. The record was last updated on Jul 21, 2026.