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

Blake A McMillan, PA-C

Individual provider Physician Assistant · NPI 1356330153

Blake A McMillan, PA-C is a Physician Assistant in Ogden, Utah. Graduated from University of Nebraska College of Medicine in 2003, 23 years ago. Practices with Ogden Clinic Specialty Services LLC, a 133-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
23
Trained at
University of Nebraska College of Medicine
Licensed in
UT
In the registry since
2005
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

4700 Harrison Blvd
Ogden, UT 84403-4303
Phone: (801) 475-3300
Fax: (801) 475-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1008081206 (UT)

Record details

NPI number1356330153
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESJanuary 17, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Ogden Clinic Specialty Services Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Ogden