Jacob C. Worley, DO
NPI 1821676099ActiveIndividual· Anesthesiology· Providence, UT
Anesthesiology (DO) in Providence, Utah, trained at Kansas City University of Med & Biosciences, College of Osteo Med (class of 2021). Enrolled in Medicare as practitioner - anesthesiology.
Overview
| NPI | 1821676099 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 30, 2021 |
| Last updated in NPPES | Jun 17, 2026 |
| Certified by provider | Jun 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 14209819-1204 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (UT) |
|---|
Education and affiliations
| Medical school | Kansas City University of Med & Biosciences, College of Osteo Med |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Anesthesiology |
Medical group
- Interwest Anesthesia Associates LLCNorth Logan, UT · 29 clinicians
Hospital affiliations
- Cache Valley HospitalNorth Logan, UT
- Intermountain Health Logan Regional HospitalLogan, UT
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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