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Shannon Michelle Montague

  • Female

Medical Specialty

Professional ID

  • NPI: 1417312604
  • PECOS ID: 2466757257
  • Enrollment ID: I20160216001009
  • Credential(MD, DO, DPM):
  • Medical School: University Of Utah School Of Medicine
  • Medical School Graduation Year: 2015

Hospital Service

  • Hospital CCN1: 460010
  • Business Name (LBN)1: Intermountain Medical Center
  • Hospital CCN2: 460047
  • Business Name (LBN)2: St Marks Hospital

Medical Practices

  • Organization Name: Heiden Orthopedics,llc
  • Group Practice ID assigned by PECOS: 2163589391
  • Number of Group Practice member: 8

Location

  • Address1: 6360 S 3000 E
  • Address2: Suite 210
  • City: Salt Lake City
  • State: Utah
  • Zip Code: 84121
  • Phone Number: (435)615-8822

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):