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

Carol A Leatherman, PA

Individual provider Surgical Physician Assistant · NPI 1700834686

Carol A Leatherman, PA is a Physician Assistant in Park City, Utah. Qualified in 2005, 21 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Utah.

Years since qualifying
21
Licensed in
KY, UT
In the registry since
2006
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.

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Practice location Address checks out

750 Round Valley Dr Ste 200
Park City, UT 84060-7548
Phone: (435) 658-7246
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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 9454093-1206 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA920 (KY)

Record details

NPI number1700834686
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESMarch 29, 2017

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 locations9 on file with Medicare

Other providers in Park City