BLAINE K MONTAGUE (NPI# 1366811606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366811606 |
| Entity Type | Individual |
| Full Name | BLAINE K MONTAGUE |
| Credential | PA |
| Practice Address |
336 W 100 S Spanish Fork UT 84660-5881 |
| Mailing Address |
325 W Center St Spanish Fork UT 84660-2060 |
| Practice Telephone | 8017987301 |
| Practice Fax Number | 8017988513 |
| Mailing Telephone | 8017987301 |
| Mailing Fax Number | 8017988513 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9508541-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1055 N 500 W Ste 121, Provo, UT 846043305 | 8013737350 | 8018125401 |
| Street Address |
336 W 100 S |
| City | SPANISH FORK |
| State | UT |
| Zip Code | 84660-5881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841495066 | Richard John Donaldson | Family Medicine | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2007-06-18 |
| 1154949493 | Samantha Howard | Nurse Practitioner | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2020-07-13 |
| 1629445473 | Summit Foot and Ankle Specialists | Clinic/Center | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2015-08-27 |
| 1801279708 | Veasana Sok | Specialist/Technologist, Other | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2015-07-09 |
| 1285023556 | Matthew Vernon Stoddard | Podiatrist | 336 W 100 S, Spanish Fork, UT 84660 | 2015-01-09 |
| 1033556204 | Andrew Barclay | Family Medicine | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2013-05-29 |
| 1154648640 | Targhee James Morris | Urology | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2010-04-23 |
| 1922238583 | Steven R Weatherspoon | Family Medicine | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2009-07-16 |
| 1609075878 | Matthew Cameron | Family Medicine | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124661384 | Ihc Health Services Inc | General Acute Care Hospital | 765 E Marketplace Dr, Spanish Fork, UT 84660 | 2019-10-21 |
| 1780157388 | Cfdental Spanish Fork Pllc | Dentist | 1265 North Canyon Creek Parkway, Spanish Fork, UT 84660 | 2019-01-07 |
| 1811406218 | Meds In Motion, LLC | Pharmacy | 555 Ut-164, Suite 110, Spanish Fork, UT 84660 | 2017-09-28 |
| 1720506710 | Alycen Fielding Decosta | Speech-Language Pathologist | 397 S 200 E, Spanish Fork, UT 84660 | 2017-08-30 |
| 1528594983 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 898 S 2550 E, Spanish Fork, UT 84660 | 2017-05-04 |
| 1255870564 | Spanish Fork Community Pharmacy, Inc | Pharmacy | 375 W. Center, Spanish Fork, UT 84660 | 2017-02-20 |
| 1952778649 | Mountain Peak Recovery | Substance Abuse Rehabilitation Facility | 14048 Highway 89, Spanish Fork Canyon, UT 84660 | 2015-08-28 |
| 1639555246 | Ashlee Rose Hunt | Social Worker | 826 N. 100 E, Ste 6, Spanish Fork, UT 84660 | 2015-08-05 |
| 1356772537 | Thistle Creek Ranch | Substance Abuse Rehabilitation Facility | 14048 South Highway 89, Spanish Fork, UT 84660 | 2013-12-12 |
| 1073952818 | Karl M. Francis, Dds PC | Dentist | 375 West Center, Spanish Fork, UT 84660 | 2013-06-14 |
| Find all providers in zip 84660 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653039 | Benjamin Daniel Roberts | Physician Assistant | 437 W 300 S, Spanish Fork, UT 84660-9241 | 2019-08-06 |
| 1285244764 | James Vance Dodds | Physician Assistant | 972 N 600 E, Spanish Fork, UT 84660-1306 | 2020-08-09 |
| 1689295404 | Alyssa Heath | Physician Assistant | 325 W Center St, Spanish Fork, UT 84660-2060 | 2020-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1164020830 | Abbey Coburn | Physician Assistant | 6028 S Ridgeline Dr Ste 200, Ogden, UT 84405-6906 | 2020-10-14 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1164049201 | Makenzie Bishop | Physician Assistant | 1077 S 810 E, Provo, UT 84606-6390 | 2020-07-05 |
| 1700403995 | Amber Astle | Physician Assistant | 782 Canterbury Ln, Alpine, UT 84004-1255 | 2020-07-03 |
| 1306462304 | Carson Homer | Physician Assistant | 1715 S 40 W, Orem, UT 84058-8409 | 2020-06-25 |
| 1518583566 | Alexanders Fitness Company LLC | Physician Assistant | 245 S 1060 W, Lindon, UT 84042-1606 | 2020-06-24 |
| 1144844218 | Rebecca E Escoto | Physician Assistant | 3064 Creek Rd, Park City, UT 84098-4843 | 2020-06-03 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | SPANISH FORK |
| Zip Code | 84660 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.