Wasatch Surgical LLC is a Surgery Physician (organization) practicing in Bountiful, Utah. The National Provider Identifier (NPI) is #1053201525, which was assigned on July 7, 2025, and the registration record was last updated on July 7, 2025. The practitioner's main practice location is at 520 Medical Dr Ste 300, Bountiful, UT 84010-8925; the contact telephone number is 2282739021. The primary taxonomy of Wasatch Surgical LLC is Surgery Physician (208600000X). The authorized official for Wasatch Surgical LLC is Mackenzie Lee Goodwin (Owner).
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
| NPI | 1053201525 |
| Entity Type | Organization |
| Organization Name | WASATCH SURGICAL LLC |
| Provider Name | WASATCH SURGICAL LLC |
| Practice Address |
520 Medical Dr Ste 300 Bountiful UT 84010-8925 |
| Practice Telephone | 2282739021 |
| Mailing Address |
1893 E Millbrook Rd Salt Lake City UT 84106-3827 |
| Mailing Telephone | 2282739021 |
| Certification Date | 2025-07-07 |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |
| Is Organization Subpart | N |
| Official Name | MACKENZIE LEE GOODWIN |
| Official Title | OWNER |
| Credential | MD |
| Telephone | 2282739021 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 193200000X MULTI-SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| Mackenzie Goodwin MD | Doing Business As Name |
| Address | Telephone | Fax |
|---|---|---|
| 74 Kimballs Lane, Bldg 2, Suite 260, Draper, UT 84020 | 2282739021 |
| Code | 208600000X |
| Taxonomy | Surgery Physician |
| Classification | Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Apex Surgical Solutions LLC | 16220 N Scottsdale Rd Ste 300k, Scottsdale, AZ 85254-1798 | Surgery Physician | 2026-02-07 |
| Urgent Specialty Associates of Missouri LLC | 19550 E 39th St S Ste 325, Independence, MO 64057-2310 | Surgery Physician | 2026-01-26 |
| Jms Surgical PLLC | 12530 Lebanon Rd Ste 205, Frisco, TX 75035-9473 | Surgery Physician | 2026-01-06 |
| Diego Surgical Inc. | 1317 Oakdale Rd Ste 420, Modesto, CA 95355-3364 | Surgery Physician | 2026-02-02 |
| Alvarez Surgical Services LLC | 8035 N Mastern Ave, Parkville, MO 64152-4003 | Surgery Physician | 2026-01-06 |
| Honorhealth Ambulatory | 4545 N Hunt Hwy Ste 100, Florence, AZ 85132-6937 | Surgery Physician | 2026-02-06 |
| North Indy Surgical LLC | 2160 W 86th St Ste 202a, Indianapolis, IN 46260-1908 | Surgery Physician | 2026-01-22 |
| Norfolk Health Care | 150 W Brambleton Ave Apt 512, Norfolk, VA 23510-2056 | Surgery Physician | 2026-01-28 |
| Susan M Apte Md | 9441 Health Center Dr, Land O Lakes, FL 34637-5837 | Surgery Physician | 2026-01-15 |
| Jennifer Johannes PLLC | 332 S 5th St, Montrose, CO 81401-5705 | Surgery Physician | 2026-01-16 |
| Find all providers with the same taxonomy | |||
| Street Address |
1893 E MILLBROOK RD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-3827 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Rick George Lambert · Riki George Lambert | 3098 Highland Dr #305, Salt Lake City, UT 84106 | Clinical Social Worker | 2006-08-21 |
| Samuel Fuller | 3440 S 500 E Apt 88, Salt Lake City, UT 84106-1280 | Social Worker | 2016-07-25 |
| Sophie Mckaye Wooton | 1240 E Stringham Ave Apt 107, Salt Lake City, UT 84106-1037 | Registered Dietitian | 2025-06-05 |
| Eric Stedman | 3802 S 700 E, Salt Lake City, UT 84106-1182 | Child & Adolescent Psychiatry Physician | 2007-05-24 |
| Adeline Rae Chavis | 3855 S 700 E, Millcreek, UT 84106-1157 | Recreational Therapist Assistant | 2025-06-09 |
| Associated Counseling Services, LLC | 2237 S 600 E, Salt Lake City, UT 84106-1429 | Counselor | 2006-03-02 |
| Kilea Sorelle Bucher | 617 E Spring View Dr, South Salt Lake, UT 84106-1211 | Case Manager/Care Coordinator | 2025-10-21 |
| Happy Homez Agency LLC | 3761 S 700 E Ste 170a, Salt Lake City, UT 84106-1100 | Foster Care Agency | 2025-05-15 |
| Angela L Stefani | 1240 E Stringham Ave Apt 403, Salt Lake City, UT 84106-1031 | General Practice Registered Nurse | 2026-01-05 |
| Utah Cancer Specialists PC | 3838 S 700 E, Ste 100, Salt Lake City, UT 84106-1466 | Nurse Practitioner | 2007-01-16 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wasatch Optimal Wellness Clinic LLC | 1716 N Highway 40 Ste 200, Heber City, UT 84032-4677 | Health Service Clinic/Center | 2024-04-05 |
| Wasatch Medicine LLC | 1776 N Highway 40, Ste 101, Heber City, UT 84032 | Primary Care Clinic/Center | 2024-03-19 |
| Wasatch Healthcare Group PLLC | 579 S 2150 W, Lehi, UT 84043-2442 | Chiropractor | 2025-07-25 |
| Wasatch Pediatrics - Southpoint Dental | 9071 S 1300 W Ste 100, West Jordan, UT 84088-6673 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-11-03 |
| Wasatch Therapy Group | 4479 S Fortuna Way, Salt Lake City, UT 84124-3861 | Mental Health Counselor | 2025-10-23 |
| Wasatch G O D Medical LLC | 2480 S Main St Ste 108, South Salt Lake, UT 84115-5002 | General Practice Physician | 2025-11-11 |
| Wasatch Pediatrics - Salt Lake Dental | 3838 S 700 E Ste 200, Salt Lake City, UT 84106-1466 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-11-03 |
| Wasatch Podiatry PLLC | 1679 Shadow Valley Dr, Ogden, UT 84403-4626 | Podiatric Clinic/Center | 2011-02-16 |
| Wasatch Wound Care | 4165 N 3750 E, Liberty, UT 84310-6816 | Emergency Medicine Physician | 2025-05-06 |
| Wasatch Behavioral Health Special Service District | 255 S Orem Blvd, Orem, UT 84058-3009 | Clinical Medical Laboratory | 2023-08-29 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |