CANYON VIEW MEDICAL GROUP LLC (NPI# 1194102889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194102889 |
| Entity Type | Organization |
| Organization Name | CANYON VIEW MEDICAL GROUP LLC |
| Other Organization Name | CANYON VIEW WOMENS CARE MONTICELLO |
| Practice Address |
380 West 100 North Monticello UT 84535 |
| Mailing Address |
325 W Center St Spanish Fork UT 84660-2060 |
| Practice Telephone | 8014652559 |
| Practice Fax Number | 8014652590 |
| Mailing Telephone | 8017987301 |
| Mailing Fax Number | 8017988513 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | AARON LOWE (ADMINISTRATOR) |
| Authorized Official Telephone | 8017987301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Canyon View Womens Care Monticello | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679995906 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 1429 S 1600 W, Mapleton, UT 84664 | 2014-01-06 |
| 1477709772 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 15 S 1000 E Ste 125, Payson, UT 84651 | 2008-08-18 |
| 1386836112 | Canyon View Medical Group LLC | Pediatrics | 15 South 1000 East, Suite 100, Payson, UT 84651 | 2007-08-15 |
| 1689154148 | Canyon View Medical Group LLC | Family Medicine | 15 S 1000 E Ste 100, Payson, UT 84651-5592 | 2018-08-15 |
| 1942671086 | Canyon View Medical Group LLC | Orthopaedic Surgery | 95 White Sage Ave, Suite C, Delta, UT 84624 | 2015-10-15 |
| 1891194346 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 325 W Center St, Spanish Fork, UT 84660 | 2014-08-21 |
| 1376985721 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 777 N 500 W, Suite 203, Provo, UT 84601 | 2013-07-26 |
| 1457638223 | Canyon View Medical Group LLC | Pediatrics | 325 W Center St, Spanish Fork, UT 84660 | 2011-11-08 |
| 1275695447 | Canyon View Medical Group LLC | Durable Medical Equipment & Medical Supplies | 5 E 400 N, Springville, UT 84663 | 2006-12-14 |
| 1386702009 | Canyon View Medical Group LLC | Family Medicine | 5 E 400 N, Springville, UT 84663 | 2006-12-05 |
| Street Address |
380 WEST 100 NORTH |
| City | MONTICELLO |
| State | UT |
| Zip Code | 84535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942251459 | San Juan County Hospital | Medicare Defined Swing Bed Unit | 380 West 100 North, Monticello, UT 84535-0308 | 2006-05-12 |
| 1609357524 | Nicole Marie Fox | Physician Assistant | 380 West 100 North, Monticello, UT 84535 | 2018-08-28 |
| 1285043885 | Jane Sparks | Nurse Practitioner | 380 West 100 North, Suite A, Monticello, UT 84535-1054 | 2014-08-07 |
| 1568790558 | Kelly Marvin Jeppesen | Family Medicine | 380 West 100 North, Suite A, Monticello, UT 84535-1054 | 2009-12-02 |
| 1114121100 | San Juan County Hospital | Clinic/Center | 380 West 100 North, Monticello, UT 84535-0308 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134731292 | Benjamin Wolsey Nielson | Social Worker | 133 E. 200 S., Monticello, UT 84535 | 2020-08-20 |
| 1346797909 | Utah Navajo Health System, Incorporated | Dentist | 217 S. 100 West, Monticello, UT 84535 | 2016-09-01 |
| 1346648094 | Kayenta Dental | Dentist | 225 S. Main, Monticello, UT 84535 | 2014-12-11 |
| 1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
| 1871932640 | Angelic Hands, Inc | Home Health | 64 West 200 South, Monticello, UT 84535 | 2013-06-14 |
| 1982910519 | Julee Dawn Slade | Registered Nurse | 417 S. 100 W., Monticello, UT 84535 | 2010-08-20 |
| 1477886059 | Blue Mountain Family Center | Substance Abuse Rehabilitation Facility | 580 North Main, Monticello, UT 84535 | 2009-09-14 |
| 1710114665 | Nathan James Turnbow | Dentist | 225 South Main, Monticello, UT 84535 | 2009-06-18 |
| 1447465141 | San Juan Dental | Dentist | 217 S. 100 W., Monticello, UT 84535 | 2007-05-14 |
| 1902952062 | San Juan County | Ambulance | 117 South Main, Monticello, UT 84535 | 2007-01-25 |
| Find all providers in zip 84535 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316131048 | Drew Professional Services | Obstetrics & Gynecology | 750 Hl Ross Drive, Monticello, AR 71655-5705 | 2007-09-06 |
| 1891720322 | Martin Cowan Mdpc | Obstetrics & Gynecology | 23 High St, Monticello, NY 12701-1331 | 2006-07-12 |
| 1427028638 | Kelly Dean Shrum | Obstetrics & Gynecology | 750 H L Ross Dr, Monticello, AR 71655-5705 | 2006-01-23 |
| 1891714358 | Martin Cowan | Obstetrics & Gynecology | 23 High St, Monticello, NY 12701-1331 | 2006-07-18 |
| 1316983240 | Monticello Women's Clinic | Obstetrics & Gynecology | 810 S 6th St, Monticello, IN 47960-8199 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753013 | Jessica Kaplan | Obstetrics & Gynecology | University of Utah University Hospital, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1326571621 | Kylie Measom Soffe | Obstetrics & Gynecology | Ob Gyn Administration 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132-2101 | 2017-04-04 |
| 1326492109 | Pennington Medical Center | Obstetrics & Gynecology | 3507 N University Ave Ste 175, Provo, UT 84604-6692 | 2016-04-19 |
| 1629430046 | Chadwick Miles Densley | Obstetrics & Gynecology | 12842 South 3600 West, Suite 200, Riverton, UT 84065 | 2016-03-24 |
| 1184090870 | Mountainstar Medical Group Timpanogos Specialty Care, LLC | Obstetrics & Gynecology | 1020 S 1100 W Ste B, Lehi, UT 84043-6041 | 2015-08-17 |
| 1639564016 | Kristen Hansord Lilja | Obstetrics & Gynecology | 82 S 1100 E Ste 305, Salt Lake City, UT 84102-4703 | 2015-04-01 |
| 1194119172 | Irina Cassimatis | Obstetrics & Gynecology | University of Utah Obgyn Dept, 30 N 1900 East. Room 2b200, Salt Lake City, UT 84132-0001 | 2015-03-26 |
| 1033509740 | Kathryn Fay | Obstetrics & Gynecology | 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132-2209 | 2015-02-02 |
| 1932528676 | Aliye Runyan | Obstetrics & Gynecology | 30 North 1900 East 2a200, Dept of Obgyn, Salt Lake City, UT 84132 | 2014-04-09 |
| 1467870295 | Ashley Elizabeth Benson | Obstetrics & Gynecology | 30 N 9100 E, Room 2b200, Salt Lake City, UT 84132-0001 | 2014-03-29 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 84535 |
Please comment or provide details below to improve the information on CANYON VIEW MEDICAL GROUP LLC.
| 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.