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

Lucas Waddoups

Individual provider Physician Assistant · NPI 1295388627

Lucas Waddoups is a Physician Assistant in South Ogden, Utah. Graduated from University of Utah School of Medicine in 2020, 6 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2019

Practice location Address checks out

4381 S 900 E
South Ogden, UT 84403-2911
Phone: (801) 837-7274
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11950477-1206 (UT)

Record details

NPI number1295388627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing address4381 S 900 E, South Ogden, UT 84403-2911

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Ogden