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Jordan Eatough, PA-C

NPI 1205428232ActiveIndividual· Physician Assistant· Provo, UT

Physician Assistant (PA-C) with Ihc Health Services Inc, practicing in Provo, Utah. Enrolled in Medicare as practitioner - physician assistant. Lists Intermountain Health Utah Valley Hospital as a hospital affiliation.

Overview

NPI1205428232
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedFeb 10, 2021
Last updated in NPPESDec 11, 2025
Certified by providerDec 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (UT)

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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