Blake J Brown (NPI# 1427060912, PAC ID# 2062310535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1427060912 |
| PAC ID by PECOS | 2062310535 |
| Professional Enrollment ID | I20041216000084 |
| Full Name | Blake J Brown |
| Organization Legal Name | LAYTON AMBULATORY ANESTHESIA, INC. |
| Address |
1544 W Antelope Dr Layton UT 84041-1146 |
| Phone Number | 8017733339 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 6406882000 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1544 W Antelope Dr, Layton, UT 84041-1146 | 8017733339 | LAYTON AMBULATORY ANESTHESIA, INC. |
| Organization Legal Name | LAYTON AMBULATORY ANESTHESIA, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Lowe | Anesthesiology | Layton Ambulatory Anesthesia, Inc. | 1544 W Antelope Dr, Layton, UT 84041-1146 |
| Clark E Petersen | Anesthesiology | Layton Ambulatory Anesthesia, Inc. | 1544 W Antelope Dr, Layton, UT 84041-1146 |
| Bryan G Holbrook | Anesthesiology | Layton Ambulatory Anesthesia, Inc. | 1544 W Antelope Dr, Layton, UT 84041-1146 |
| Street Address |
1544 W ANTELOPE DR |
| City | LAYTON |
| State | UT |
| Zip | 84041-1146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Lowe | Anesthesiology | Layton Ambulatory Anesthesia, Inc. | 1544 W Antelope Dr, Layton, UT 84041-1146 |
| Clark E Petersen | Anesthesiology | Layton Ambulatory Anesthesia, Inc. | 1544 W Antelope Dr, Layton, UT 84041-1146 |
| Bryan G Holbrook | Anesthesiology | Layton Ambulatory Anesthesia, Inc. | 1544 W Antelope Dr, Layton, UT 84041-1146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LAYTON + ANESTHESIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.