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

Lucas Ryan Keck, PA-C

Individual provider Physician Assistant · NPI 1871148627

Lucas Ryan Keck, PA-C is a Physician Assistant in Park City, Utah. Qualified in 2019, 7 years ago. Practices with Utah Regional Hospitalists LLC, a 121-clinician group 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Phone: (435) 655-6600
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 · Licence 13915647-1206 (UT)

Record details

NPI number1871148627
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 8, 2019
Last updated in NPPESSeptember 14, 2025
Certification dateSeptember 14, 2025

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 Utah Regional Hospitalists Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Park City