NPIMap

Organization Active NPI

Canyon View Medical Group LLC

  • Family Medicine Physician
  • Payson, UT
National Provider Identifier
1689154148
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CANYON VIEW MEDICAL GROUP LLC
Practice address
15 S 1000 E Ste 100
Payson, UT 84651-5592
Phone
(801) 465-9802
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Aaron Lowe
Title
Adminstrator
Phone
(801) 210-2651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15 S 1000 E Ste 100
Payson, UT 84651-5592

Mailing address

15 S 1000 E Ste 100
Payson, UT 84651-5592
Phone (801) 465-9802

Other names 1

  • Payson Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1689154148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S 1000 E STE 100",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515592",
            "telephone_number": "801-465-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 1000 E STE 100",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515592",
            "telephone_number": "801-465-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON VIEW MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "801-210-2651"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payson Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Payson Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.