Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colby John Mitchell, PA-C

Individual provider Physician Assistant · NPI 1164546701

Colby John Mitchell, PA-C is a Physician Assistant in Ogden, Utah. Qualified 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
Licensed in
UT
In the registry since
2007
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

4650 Harrison Blvd
Ogden, UT 84403-4303
Phone: (801) 475-3072
Fax: (801) 475-3076
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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 333709 1206 (UT)

Record details

NPI number1164546701
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESJanuary 19, 2017
Mailing addressPo Box 5546, Denver, CO 80217-5546

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
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 locations7 on file with Medicare

Other providers in Ogden