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

Isaiah Garrett Parry

Individual provider Physician Assistant · NPI 1578311072

Isaiah Garrett Parry is a Physician Assistant in Provo, Utah. Qualified in 2025, 1 year ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1055 N 500 W Ste 212 Bldg C
Provo, UT 84604
Phone: (801) 373-4366
Fax: (801) 429-8191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Novell Pl, Provo, UT 84606-6171 — (801) 375-5125

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14247850-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578311072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2024
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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