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

Maite Antola

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518584655

Maite Antola is a Physician Assistant in Orem, Utah. Qualified in 2020, 6 years ago. Practices with Jeffrey G Ogden MD PC, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

421 N Orem Blvd
Orem, UT 84057-8813
Phone: (801) 764-0200
Fax: (801) 764-0206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11971127-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518584655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 5, 2020
Last updated in NPPESOctober 13, 2021
Certification dateSeptember 28, 2021
Mailing address421 N Orem Blvd, Orem, UT 84057-8813

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jeffrey G Ogden Md Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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