Jacob Rodriguez
Jacob Rodriguez is a Physician Assistant in Garden City, Utah. Qualified in 2024, 2 years ago. Practices with Health West Inc, a 66-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 2
- Licensed in
- UT
- In the registry since
- 2022
Practice location Address checks out
325 W Logan RdGarden City, UT 84028-7754
Phone: (208) 232-7862
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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 14190579-1206 (UT) |
|---|
Record details
| NPI number | 1316675382 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 9, 2022 |
| Last updated in NPPES | November 20, 2024 |
| Certification date | November 20, 2024 |
| Mailing address | 500 S 11th Ave Ste 400, Pocatello, ID 83201-4880 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Health West Inc — 66 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Garden City
-
Tracy Ann Seel, PA
288 S Paradise Parkway Po Box 154, Garden City, UT 84028 · (435) 255-1630