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

Logan Kupitz, PA-C

Individual provider Physician Assistant · NPI 1891343950

Logan Kupitz, PA-C is a Physician Assistant in Eagle Mountain, Utah. Qualified in 2019, 7 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
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

4095 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 84005-5531
Phone: (801) 429-8037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1750 Sidewinder Dr, Park City, UT 84060-7570 — (435) 649-7640

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11353339-1206 (UT)

Record details

NPI number1891343950
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2019
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Eagle Mountain