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

Justin Gardner, PA-C

Individual provider Surgical Physician Assistant · NPI 1386011021

Justin Gardner, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2015, 11 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas and Utah.

Years since qualifying
11
Licensed in
TX, UT
In the registry since
2015
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

5295 S Commerce Dr Ste 550
Murray, UT 84107-4736
Phone: (801) 313-4110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6701 Fannin St, Houston, TX 77030-2608 — (832) 824-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10128860-1206 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X (TX)

Record details

NPI number1386011021
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2015
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing addressPo Box 30180, Salt Lake City, UT 84130-0180

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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