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

Jeremy Wallentine, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1619130036

Jeremy Wallentine, MD is a Pathology in Slc, Utah. Graduated from University of Utah School of Medicine in 2005, 21 years ago. Practices with Utah Pathology Services Inc, a 28-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2913 Garden Meadows Cv
Slc, UT 84106-1302
Phone: (801) 865-2442
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 3289491205 (UT)

Record details

NPI number1619130036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2008
Last updated in NPPESNovember 9, 2011

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Utah Pathology Services Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare