Srs-Payson, LLC
Srs-Payson, LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Payson, UT, holding Type 2 (organization) NPI 1548835879 since 2021. The authorized official on file is Jerome Tannenbaum, Ceo and Chairman of the Board.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1548835879 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Srs-Payson, LLC |
| Practice address | 15 S 1000 E, Payson, UT, 84651 |
| Phone | 8888836407 |
| Fax | 8556310206 |
| Enumeration date | 2021-05-20 |
| Last updated in NPPES | 2021-05-21 |
Authorized official
| Name | Jerome Tannenbaum |
|---|---|
| Title | Ceo and Chairman of the Board |
| Phone | 6154670140 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Srs-Payson, LLC NPI: 1548835879 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 15 S 1000 E, Payson, UT, 84651
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780789099 | Michael Fullmer | Individual | Pediatrics Physician | Payson, UT |
| 1053535930 | Jonathan Peterson | Individual | Pediatrics Physician | Payson, UT |
| 1053500314 | Chad Farley | Individual | Neurological Surgery Physician | Payson, UT |
| 1306094438 | University of Utah Payson Regional Dialysis Center | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Payson, UT |
| 1447498266 | Utah County Medical Associates | Organization | Family Medicine Physician | Payson, UT |
| 1841433927 | Central Utah Clinic, P.C. | Organization | Urology Physician | Payson, UT |
| 1952729204 | Rock Creek Neurosurgery, LLC | Organization | Neurological Surgery Physician | Payson, UT |
Verify this record
Cross-check NPI 1548835879 against the authoritative CMS record: view Srs-Payson, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Srs-Payson, LLC?
What is the NPI number for Srs-Payson, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-05-21.