Shane D Gagon (NPI# 1508951328, PAC ID# 6204740251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1508951328 |
PAC ID by PECOS | 6204740251 |
Professional Enrollment ID | I20031114000299 |
Full Name | Shane D Gagon |
Organization Legal Name | SHANE D GAGON MD, PC |
Address |
377 No Fairgrounds Rd Gagon Family Practice Price UT 84501-4211 |
Phone Number | 4356132200 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 1997 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 9335236868 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460011 | CASTLEVIEW HOSPITAL |
460001 | UTAH VALLEY HOSPITAL |
Address | Phone | Organization |
---|---|---|
377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211 | 4356132200 | SHANE D GAGON MD, PC |
Organization Legal Name | SHANE D GAGON MD, PC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel C Monahan | Internal Medicine | Shane D Gagon Md, PC | 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211 |
Tiffany Brook Noyes | Nurse Practitioner | Shane D Gagon Md, PC | 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211 |
Donna Mathis | Nurse Practitioner | Shane D Gagon Md, PC | 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211 |
Max G Morgan | Family Practice | Shane D Gagon Md, PC | 377 No Fairgrounds Rd, Price, UT 84501-4211 |
Street Address |
377 NO FAIRGROUNDS RD GAGON FAMILY PRACTICE |
City | PRICE |
State | UT |
Zip | 84501-4211 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel C Monahan | Internal Medicine | Shane D Gagon Md, PC | 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211 |
Tiffany Brook Noyes | Nurse Practitioner | Shane D Gagon Md, PC | 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211 |
Donna Mathis | Nurse Practitioner | Shane D Gagon Md, PC | 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211 |
Max G Morgan | Family Practice | Shane D Gagon Md, PC | 377 No Fairgrounds Rd, Price, UT 84501-4211 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cori Dawn Callahan | Optometry | Southeastern Utah Eye Clinic PC | 54 E 100, Price, UT 84501-2404 |
Judy O Saccomanno | Optometry | Southeastern Utah Eye Clinic PC | 54 E 100, Price, UT 84501-2404 |
Mason Geral Livingston | Optometry | Southeastern Utah Eye Clinic PC | 54 E 100, Price, UT 84501-2404 |
Chaz Davis | Nurse Practitioner | Castleview Physician Practice, LLC | 317 E 100, Price, UT 84501-2504 |
Michael J Terry | Physical Therapy | Prorehab Physical Therapy | 590 E 100, Suite 1, Price, UT 84501-2600 |
Kirk R Player | Physical Therapy | Prorehab Physical Therapy | 590 E 100 N, Suite 1, Price, UT 84501-2600 |
Matthew F Brady | Family Medicine | Castleview Physician Practice, LLC | 590 E 100, Price, UT 84501-2600 |
Michael David Clark | Nurse Practitioner | Castleview Physician Practice, LLC | 590 E 100, Price, UT 84501-2600 |
Timothy Adam Callahan | Physician Assistant | Castleview Physician Practice, LLC | 590 E 100, Price, UT 84501-2600 |
David Kenneth Mcomber | Nurse Practitioner | 590 E 100, Suite 6, Price, UT 84501-2600 | |
Find all physicians in zip 84501 |
City | PRICE |
Zip Code | 84501 |
Specialty | FAMILY MEDICINE |
City + Specialty | PRICE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane D Gagon.
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.