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

Leslie Madore, PA

Individual provider Surgical Physician Assistant · NPI 1649244120

Leslie Madore, PA is a Physician Assistant in Sandy, Utah. Qualified in 2002, 24 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
24
Licensed in
UT
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

9720 S 1300 E Ste E230
Sandy, UT 84094
Phone: (801) 501-2950
Fax: (801) 501-2951
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9377430-1206 (UT)

Record details

NPI number1649244120
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJanuary 22, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare