NPIMap

Individual provider Active NPI

Gale J. Skousen, M.D.

  • Family Medicine Physician
  • Salem, UT
National Provider Identifier
1053305391
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
184332-1205 Issued in UT
Practice address
591 N State Road 198 Ste 203
Salem, UT 84653-5668
Phone
(801) 465-9802
NPI assigned
Sep 1, 2005
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 184332-1205 UT Primary

Addresses

Primary practice location

591 N State Road 198 Ste 203
Salem, UT 84653-5668

Mailing address

336 W 100 S
Spanish Fork, UT 84660-5881
Phone (801) 798-7301

Other practice location 1

336 W 100 S
Spanish Fork, UT 84660-5881
Phone (801) 798-7301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000781 UT Practitioner - Family Practice 5496891806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon View Medical Group LLCGroup PAC ID 9739084351, 30 clinicians

Practice addresses (Care Compare)

336 W 100
Spanish Fork, UT 84660-5881
Phone (801) 798-7301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon View Medical Group LLC Family Medicine CurrentSince Mar 20, 2023 Accepting new patients
Canyon View Medical Group LLC Family Medicine CurrentSince Mar 20, 2023 Accepting new patients
Canyon View Medical Group LLC Current Accepting new patients
Canyon View Medical Group LLC Family Medicine PastSince Sep 5, 2023 Accepting new patients

Locations

1429 S 1600 W
Mapleton, UT 84664
Phone (801) 489-8464

591 N State Road 198
Ste 203
Salem, UT 84653
Phone (801) 465-9802

94 W Main St
Santaquin, UT 84655
Phone (801) 754-3122

325 W Center St
Spanish Fork, UT 84660
Phone (801) 798-7301

336 W 100 S
Spanish Fork, UT 84660
Phone (385) 203-0246

5 E 400 N
Springville, UT 84663
Phone (801) 489-8464

55 E 400 N
Springville, UT 84663
Phone (801) 489-8464

Interoperability endpoints

  • Direct secure messaging: gale.skousen.1@17226.direct.athenahealth.com
  • Direct secure messaging: gale.skousenmd.p1@direct.canyonviewmed.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1053305391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W 100 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605881",
            "telephone_number": "801-798-7301",
            "fax_number": "801-798-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 N STATE ROAD 198 STE 203",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846535668",
            "telephone_number": "801-465-9802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 W 100 S",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846605881",
            "country_code": "US",
            "telephone_number": "801-798-7301",
            "fax_number": "801-798-8513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOUSEN",
        "first_name": "GALE",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "184332-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, UT

Sources for this page

Verify at the official NPI Registry.