Blaine K Montague (NPI# 1366811606, PAC ID# 6305154980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366811606 |
| PAC ID by PECOS | 6305154980 |
| Professional Enrollment ID | I20150930003342 |
| Full Name | Blaine K Montague |
| Organization Legal Name | CANYON VIEW MEDICAL GROUP LLC |
| Address |
325 W Ctr St Spanish Fork UT 84660-2060 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739084351 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460013 | MOUNTAIN VIEW HOSPITAL |
| 460001 | UTAH VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 325 W Ctr St, Spanish Fork, UT 84660-2060 | CANYON VIEW MEDICAL GROUP LLC |
| Organization Legal Name | CANYON VIEW MEDICAL GROUP LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blake P Gillette | Orthopedic Surgery | Canyon View Medical Group LLC | 336 W 100, Spanish Fork, UT 84660-5881 |
| David J Beckstead | Family Medicine | Canyon View Medical Group LLC | 94 W Main St, Santaquin, UT 84655-5655 |
| Tracy M Frandsen | Family Medicine | Canyon View Medical Group LLC | 325 W Ctr St, Spanish Fork, UT 84660-2060 |
| William L Warner | Obstetrics/gynecology | Canyon View Medical Group LLC | 380 W 100, Monticello, UT 84535 |
| Michael S Mclay | Family Medicine | Canyon View Medical Group LLC | 5 E 400, Springville, UT 84663-1347 |
| Andrew Darrel Barclay | Family Medicine | Canyon View Medical Group LLC | 94 W Main St, Santaquin, UT 84655-5655 |
| David E Ludlow | Obstetrics/gynecology | Canyon View Medical Group LLC | 15 S 1000, Suite 125, Payson, UT 84651-5593 |
| Michael L Dahl | Physician Assistant | Canyon View Medical Group LLC | 94 W Main St, Santaquin, UT 84655-5655 |
| Jason K Morris | Obstetrics/gynecology | Canyon View Medical Group LLC | 325 W Ctr St, Spanish Fork, UT 84660-2060 |
| John Laraway | Obstetrics/gynecology | Canyon View Medical Group LLC | 325 W Ctr St, Spanish Fork, UT 84660-2060 |
| Street Address |
325 W CTR ST |
| City | SPANISH FORK |
| State | UT |
| Zip | 84660-2060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy M Frandsen | Family Medicine | Canyon View Medical Group LLC | 325 W Ctr St, Spanish Fork, UT 84660-2060 |
| Jason K Morris | Obstetrics/gynecology | Canyon View Medical Group LLC | 325 W Ctr St, Spanish Fork, UT 84660-2060 |
| John Laraway | Obstetrics/gynecology | Canyon View Medical Group LLC | 325 W Ctr St, Spanish Fork, UT 84660-2060 |
| Kristen D Wright | Nurse Practitioner | Canyon View Medical Group LLC | 325 W Ctr St, Spanish Fork, UT 84660-2060 |
| Brian B Liljenquist | Sports Medicine | 325 W Ctr St, Spanish Fork, UT 84660-2060 | |
| Nathan A Phelps | Family Practice | Dr. Brian Liljenquist Pllc | 325 W Ctr St, Spanish Fork, UT 84660-2060 |
| Richard D Paxton | Pediatric Medicine | Canyon View Medical Group LLC | 325 W Ctr St, Spanish Fork, UT 84660-2060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Mckell | Optometry | Shopko Stores Operating Co LLC | 955 N Main St, Spanish Fork, UT 84660-1150 |
| David Ivan Jones | Optometry | 57 E 1000, Advanced Family Eyecare, Spanish Fork, UT 84660-1200 | |
| Michael P Eyre | Dermatology | Aspen Dermatology Pllc | 114 E 800, Spanish Fork, UT 84660-1209 |
| Chad R Peterson | Dermatology | Aspen Dermatology Pllc | 114 E 800, Spanish Fork, UT 84660-1209 |
| Ryan David Beck | Chiropractic | 57 E 800, Spanish Fork, UT 84660-1210 | |
| Conley B Call | Ophthalmology | 78 E 900, Spanish Fork, UT 84660-1232 | |
| Jason A Mcbride | Psychologist, Clinical | Alliance Behavioral Psychology LLC | 958 N 200, Spanish Fork, UT 84660-1247 |
| Veloy K Cook | Chiropractic | 685 E 800, Spanish Fork, UT 84660-1325 | |
| David Albert Baggaley | Chiropractic | Back On Track Family Chiropractic, LLC | 1247 Expressway Ln, Spanish Fork, UT 84660-1333 |
| Targhee James Morris | Urology | 415 N Main St, Spanish Fork, UT 84660-1439 | |
| Find all physicians in zip 84660 | |||
| City | SPANISH FORK |
| Zip Code | 84660 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPANISH FORK + PHYSICIAN ASSISTANT |
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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.