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NPI 1841736501 · Plastic Surgery Physician · Logan, UT
Provider details
- NPI number
- 1841736501
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Blaine Andersen, Physician(435) 753-3400
- License
- 1788161205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 N 500 E Ste 260
Logan, UT 84341-2417
Phone: (435) 753-3400
Street-level locationGet directions
Mailing address
1300 N 500 E Ste 260
Logan, UT 84341-2417
Other names (DBA / former)
- Other name
- Blaine P. Andersen, M.D.
Registry dates
- Enumerated
- 2017-01-18
- Last updated
- 2017-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.