Individual provider Active NPI

Blaine Johnson Cashmore, MD

  • Surgery Physician
  • Tooele, UT
National Provider Identifier
1174576144
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
59686361205 Issued in UT
Practice address
196 E 2000 N
Ste. 106
Tooele, UT 84074-9335
Phone
(435) 622-8006
Fax
(435) 882-8253
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 59686361205 UT Primary

Addresses

Primary practice location

196 E 2000 N
Ste. 106
Tooele, UT 84074-9335

Mailing address

196 E 2000 N Ste 109
Tooele, UT 84074-9335
Phone (435) 228-0061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000130 UT Practitioner - General Surgery 5395760813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
George Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tooele Clinic CorpGroup PAC ID 6800700873, 63 clinicians

Practice addresses (Care Compare)

196 E 2000
Tooele, UT 84074-9335

2055 N Main St
Tooele, UT 84074-9819
Phone (435) 943-3600

2321 N 400
Suite 300
Tooele, UT 84074-3440
Phone (435) 833-9180

Hospital & facility affiliations

  • Mountain West Medical Center Hospital, Tooele, UT, CCN 460014

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as group
Quality
91.38
Promoting interoperability
100
Improvement activities
40
Cost
77.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux74
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59686361205UTMDSurgery Physician

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Tooele Clinic Corp Surgery CurrentSince Jul 2, 2007 Accepting new patients

Locations

196 E 2000 N
Ste 109
Tooele, UT 84074
Phone (435) 843-2723

2321 N 400 E
Ste 300
Tooele, UT 84074
Phone (435) 833-9180

196 E 2000 N
Ste 106
Tooele, UT 84074
Phone (435) 228-0061

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

Networks

  • UT PPO
  • UT PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: blaine.cashmore.1@1562.direct.athenahealth.com
  • Direct secure messaging: bcashmor@yourcarecommunity.org

Organizations & group practices 1

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

Hospital & facility affiliations 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1174576144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 E 2000 N STE 109",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749335",
            "telephone_number": "435-228-0061",
            "fax_number": "435-843-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 E 2000 N",
            "address_2": "STE. 106",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749335",
            "telephone_number": "435-622-8006",
            "fax_number": "435-882-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASHMORE",
        "first_name": "BLAINE",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "59686361205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.