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

Jason Eatough, PA

Individual provider Medical Physician Assistant · NPI 1205874179

Jason Eatough, PA is a Physician Assistant in Orem, Utah. Qualified in 2002, 24 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
24
Licensed in
ID, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

331 N 400 W
Orem, UT 84057-1913
Phone: (801) 714-3200
Fax: (801) 714-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 W State Road 164, Salem, UT 84653-5732 — (801) 465-4896

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 319284-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA509 (ID)

Record details

NPI number1205874179
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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