Active NPI
Aaron Gregory Fausett, PA
- Physician Assistant
- Salem, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7104965-1206
- Practice address
- 555 W State Road 164
Salem, UT 84653-5732 - Phone
- (801) 465-4896
- Fax
- (801) 465-3267
- NPI assigned
- Nov 6, 2007
- Last updated
- Aug 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7104965-1206 | UT | Primary |
Addresses
Primary practice location
555 W State Road 164
Salem, UT 84653-5732
Mailing address
336 W 100 S
Spanish Fork, UT 84660-5881
Phone (801) 798-7301
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315589 | Other | WY | BCBS WY |
| 125398100 | Medicaid | WY |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 W Ctr St
Spanish Fork, UT 84660-2060
Phone (801) 894-1333
591 N State Rd
198 Suite 202
Salem, UT 84653-5668
Phone (801) 465-9802
94 W Main St
Santaquin, UT 84655-5655
Phone (801) 754-3122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7104965-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Canyon View Medical Group LLC | Current | Accepting new patients | |
| Canyon View Medical Group LLC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients |
Locations
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
555 W State Road 164
Salem, UT 84653
Phone (801) 465-4896
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
55 E 400 N
Springville, UT 84663
Phone (801) 489-8464
Interoperability endpoints
- aaron.fausettpa.p1@direct.canyonviewmed.nextgenshare.com
Organizations & group practices 7
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.
-
dba Canyon View Womens Clinic
- Obstetrics & Gynecology Physician
- Payson, UT
- NPI 1477709772
-
- Emergency Medicine Physician
- Provo, UT
- NPI 1649204553
-
dba Salem Medical Clinic
- Family Medicine Physician
- Salem, UT
- NPI 1225739857
-
dba Mapleton Medical Clinic
- Family Medicine Physician
- Mapleton, UT
- NPI 1679995906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1689854861",
"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": "555 W STATE ROAD 164",
"city": "SALEM",
"state": "UT",
"postal_code": "846535732",
"telephone_number": "801-465-4896",
"fax_number": "801-465-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUSETT",
"first_name": "AARON",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "7104965-1206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WY",
"identifier": "315589",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125398100",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.