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

Landon Phillip Henriksen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891378741

Landon Phillip Henriksen is a Physician Assistant in Slc, Utah. Qualified in 2020, 6 years ago. Practices with Bobby Buka, MD, PC, a 143-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2021
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Practice location Address checks out

228 E 1st Ave Apt 7
Slc, UT 84103-2344
Phone: (801) 696-4261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (UT)

Record details

NPI number1891378741
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bobby Buka, M.D., P.C. — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Slc