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

Dr. Jason Mark Huddleston, DO

Individual provider Internal Medicine Physician · NPI 1619908001

Dr. Jason Mark Huddleston, DO is an Internal Medicine in American Fork, Utah. Qualified in 2004, 22 years ago. Practices with Revere Health PC, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
22
Licensed in
UT
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1175 E 50 S Ste 241
American Fork, UT 84003-0000
Phone: (801) 492-5999
Fax: (801) 418-0897
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 6581201-1204 (UT)

Record details

NPI number1619908001
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESNovember 27, 2023
Certification dateApril 15, 2020
Mailing address1055 N 500 W, Credentialing Department, Provo, UT 84604-3305

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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