Blaine Perkes Andersen (NPI# 1538279609, PAC ID# 2769522390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1538279609 |
| PAC ID by PECOS | 2769522390 |
| Professional Enrollment ID | I20091211000682 |
| Full Name | Blaine Perkes Andersen |
| Address |
1300 N 500 E Suite 260 Logan UT 84341-2417 |
| Phone Number | 4357533400 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY, MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460015 | LOGAN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1300 N 500 E, Suite 260, Logan, UT 84341-2417 | 4357533400 |
| Street Address |
1300 N 500 E SUITE 260 |
| City | LOGAN |
| State | UT |
| Zip | 84341-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon A Siler | Ophthalmology | Cache Valley Eye Associates, Pllc | 1300 N 500 E, Suite 350, Logan, UT 84341-2469 |
| Matthew D Parry | Optometry | Cache Valley Eye Associates, Pllc | 1300 N 500 E, Suite 350, Logan, UT 84341-2469 |
| David G Waterman | Ophthalmology | Cache Valley Eye Associates, Pllc | 1300 N 500 E, Suite 350, Logan, UT 84341-2469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny E Spencer | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Roger M Moczygemba | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Robert P Young | Dermatology | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Heather B Allred | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Angela K Cronin | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Scott Eric Macdonald | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Christopher J Morgan | Nurse Practitioner | 2150 N Main St, Suite 10, North Logan, UT 84341-1740 | |
| Charles R Acevedo | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Jason Christiansen | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Ryan J Perry | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Find all physicians in zip 84341 | |||
| City | LOGAN |
| Zip Code | 84341 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | LOGAN + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Blaine Perkes Andersen.
| 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.