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

Jay Boardman, PA-C

Individual provider Medical Physician Assistant · NPI 1659854677

Jay Boardman, PA-C is a Medical Physician Assistant in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13755 N Litchfield Rd Ste 105
Surprise, AZ 85379-4288
Phone: (623) 322-5900
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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 7273 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1659854677
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2018
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address14109 N 83rd Ave Apt 329, Peoria, AZ 85381-4779

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