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

Landry Thompson

Individual provider Physician Assistant · NPI 1629751920

Landry Thompson is a Physician Assistant in Orem, Utah. Qualified in 2024, 2 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

800 W University Pkwy
Orem, UT 84058-6703
Phone: (801) 863-8000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629751920
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 11, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address1871 W Springwater Ln, Orem, UT 84059-4901

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Orem