Canyon View Medical Group LLC
Organization Active NPI Family Medicine Physician · Mapleton, UT
NPI 1679995906 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1679995906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CANYON VIEW MEDICAL GROUP LLC
- Practice address
- 1429 S 1600 W
Mapleton, UT 84664 - Phone
- (801) 853-3700
- Fax
- (801) 489-6378
- NPI assigned
- Jan 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Aaron Lowe
- Title
- Office Administrator
- Phone
- (801) 798-7301
Other NPIs on the same Medicare enrollment 12
Practitioners 9
-
Nesha Burrows, APRN-CNP
-
Eric M Hogenson, M.D.
-
Cami Copier Martin, APRN
-
Patrick Tanner McVey, M.D.
-
Marc A Penrod, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2180383 | Canyon View Medical Group Mapleton | Compliance | Mar 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031205000226 | UT | Part B Supplier - Clinic/Group Practice | 9739084351 |
Receives reassigned benefits from 33 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Salem, UT; Santaquin, UT; Spanish Fork, UT; Springville, UT; Mapleton, UT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
1429 S 1600 W
Mapleton, UT 84664
Mailing address
325 W Center St
Spanish Fork, UT 84660-2060
Phone (801) 798-7301
Other names
- Mapleton Medical Clinic
Other providers in Mapleton, UT
- Bridges Psychotherapy Solutions
- Aubrie E.W. Brooks
- Jeanette Brown
- Lauren Nicole Busch
- Canyon Hearing Care LLC
- Courtney Cherrington
- Skyler Elden Clark
- Connected Medical Group LLC
- Vaughn R Cook
- Cole Davis
All providers in Mapleton, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.