Wesley S Bott, DO
Individual provider Active NPI Family Medicine Physician · Santaquin, UT
NPI 1760659130 · NPPES record last updated Aug 15, 2016
Key facts
- NPI
- 1760659130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 7925403-1204 (UT)
- Practice address
- 94 W Main St
Santaquin, UT 84655-5655 - Phone
- (801) 754-3122
- Fax
- (801) 754-0197
- NPI assigned
- May 14, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Canyon View Medical Group LLC
Practice addresses (Care Compare)
94 W Main St
Santaquin, UT 84655-5655
Phone (801) 754-3122
Hospital & facility affiliations
- Canyon Home Care
- Rocky Mountain Home Health - Utah
- Symbii Home Health South
- Mountain View Hospital
- Central Valley Medical Center - Cah
- Intermountain Health Utah Valley Hospital
- Mervyn Sharp Bennion Central Utah Veterans Home
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Mervyn Sharp Bennion Central Utah Veterans Home |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Nov 1, 2016 Nov 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110712000627 | UT | Practitioner - Family Practice | 8325184328 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7925403-1204 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon View Medical Group LLC | Family Medicine | Current |
Accepting new patients |
| Canyon View Medical Group LLC | Current | Accepting new patients | |
| Canyon View Medical Group LLC | Family Medicine | Current |
Accepting new patients |
| Fort Wayne Medical Education Program | Family Medicine | Past |
Accepting new patients |
Locations
94 W Main St
Santaquin, UT 84655
Phone (801) 754-3122
336 W 100 S
Spanish Fork, UT 84660
Phone (385) 203-0246
325 W Center St
Spanish Fork, UT 84660
Phone (801) 798-7301
Interoperability endpoints
- wesley.bott.p1@direct.canyonviewmed.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02003547A | IN | |
| Family Medicine Physician | 207Q00000X | 7925403-1204 | UT | Yes |
Addresses
Primary practice location
94 W Main St
Santaquin, UT 84655-5655
Mailing address
325 W Center St
Spanish Fork, UT 84660-2060
Phone (801) 798-7301
Other providers in Santaquin, UT
- Kenyon B Anderson
- Ascend Mental Health and Wellness
- Jillene Louise Askerlulnd
- Jared L Bingham
- Holly Binks
- Irina M. Campbell
- Canyon View Medical Group
- Canyon View Medical Group LLC
- Jon Ralph Chisholm
- Joshua Richard Chisholm
All providers in Santaquin, 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 Aug 15, 2016. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- 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.