Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376223818 Individual Practitioner Male Practitioner

Blake William Montgomery , PA-C

Physician Assistant • West Valley, UT

Professional Overview & Biography Verified Profile Summary

Blake Montgomery, PA-C is a registered healthcare professional specializing in Physician Assistant in West Valley, UT. Practice services are available at 1681 W 3860 S STE 106B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1681 W 3860 S Ste 106b

West Valley, UT 841196274

Telephone 3854290785
Associated Practice Facility / Clinic
🏢 Axon Injury Clinic Llc Facility NPI 1396434544

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West Valley, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
5 Specialists

Practicing in West Valley, UT (1904 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 8747490-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2023

Registered at 1681 W 3860 S STE 106B, WEST VALLEY, UT 841196274 (Tel: 3854290785)

📍
Updated Business Mailing Address July 19, 2023

Registered at 1681 W 3860 S STE 106B, WEST VALLEY, UT 841196274 (Tel: 3854290785)

👤
Provider Name / Credentials Updated July 19, 2023

Recorded as BLAKE MONTGOMERY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2023

Physician Assistant (License #8747490-1206 in UT)

🟢
Initial NPI Registration & Enumeration July 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376223818
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2023
Last Update: July 19, 2023
Sole Proprietor: No

Mailing Address

1681 W 3860 S Ste 106b

West Valley, UT 841196274

Phone: 3854290785

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.