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

Jon Willardson

Individual provider Emergency Medicine Physician · NPI 1780819771

Jon Willardson is an Emergency Medicine in American Fork, Utah. Qualified in 2009, 17 years ago. Practices with North Valley Emergency Physicians Lc, a 16-clinician group and accepts Medicare assignment. Licensed in Georgia, Pennsylvania and Utah.

Years since qualifying
17
Licensed in
GA, PA, UT
In the registry since
2009
Specialties on file
4

Practice location Address checks out

170 N 1100 E
American Fork, UT 84003-2096
Phone: (801) 855-4650
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 9463450-1204 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OT012855 (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 070013 (GA)
Pediatric Emergency Medicine (Emergency Medicine) Physician Taxonomy 207PP0204X · Licence 070013 (GA)

Record details

NPI number1780819771
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2009
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address170 N 1100 E, American Fork, UT 84003-2096

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice North Valley Emergency Physicians Lc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in American Fork