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

Langley L Kushman, PA

Individual provider Physician Assistant · NPI 1831475748

Langley L Kushman, PA is a Physician Assistant in Salt Lake City, Utah. Qualified in 2011, 15 years ago. Practices with University of Utah Surgical Services, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

175 N Medical Dr
Salt Lake City, UT 84132-5901
Phone: (801) 587-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9316490-1206 (UT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1831475748
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2011
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Of Utah Surgical Services — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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