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

Cameron Cooper, PA

Individual provider Medical Physician Assistant · NPI 1518453976

Cameron Cooper, PA is a Physician Assistant in Stansbury Park, Utah. Qualified in 2018, 8 years ago. Practices with Mmg Stansbury Family Practice LLC, a 5-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

576 E Highway 138 Ste 310
Stansbury Park, UT 84074-4028
Phone: (801) 827-0662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 746 E Winchester St, Murray, UT 84107-8512 — (801) 456-2333
  • 2321 N 400 E Ste 300, Tooele, UT 84074-3440 — (435) 833-9180

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10961171-1206 (UT)

Record details

NPI number1518453976
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address2321 N 400 E Ste 300, Tooele, UT 84074-3440

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mmg Stansbury Family Practice Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stansbury Park