Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin W Blackburn, PA-C

Individual provider Physician Assistant · NPI 1649380049

Benjamin W Blackburn, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2005, 21 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Utah.

Years since qualifying
21
Licensed in
AZ, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5373 S Green St Ste 400
Murray, UT 84123-4740
Phone: (801) 442-5502
Fax: (857) 267-5668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8849 S Redwood Rd, West Jordan, UT 84088-5619 — (801) 569-1999

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8983610-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 3458 (AZ)

Record details

NPI number1649380049
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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