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

Craig Aaron Packham, PA-C

Individual provider Medical Physician Assistant · NPI 1104920354

Craig Aaron Packham, PA-C is a Physician Assistant in Tooele, Utah. Qualified in 2008, 18 years ago. Practices with Tooele Orthopedics and Sports Medicine Specialists, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
18
Licensed in
UT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2356 N 400 E Ste 102
Tooele, UT 84074
Phone: (435) 833-9180
Fax: (435) 833-9177
Show map & directions

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

Additional practice locations (1)

  • 2356 N 400 E Ste 201, Tooele, UT 84074-3409 — (435) 882-2350

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 51058218002 (UT)

Record details

NPI number1104920354
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2006
Last updated in NPPESJuly 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Tooele Orthopedics And Sports Medicine Specialists — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tooele