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

Mark Kenneth Bennett, PA-C

Individual provider Medical Physician Assistant · NPI 1871859223

Mark Kenneth Bennett, PA-C is a Physician Assistant in Ogden, Utah. Qualified in 2011, 15 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2012
Specialties on file
3
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

4403 Harrison Blvd Ste 2600
Ogden, UT 84403-3277
Phone: (801) 387-7450
Fax: (801) 387-7130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8134401-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 8134401-8906 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 8134401-1206 (UT)

Record details

NPI number1871859223
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ogden