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

Mr. Carson Michael Close, PA-C

Individual provider Physician Assistant · NPI 1073981437

Mr. Carson Michael Close, PA-C is a Physician Assistant in Ogden, Utah. Qualified in 2015, 11 years ago. Practices with Ogden Clinic PC, a 106-clinician group and accepts Medicare assignment. Licensed in North Carolina and Utah.

Years since qualifying
11
Licensed in
NC, UT
In the registry since
2015
Specialties on file
2
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

5740 Crestwood Dr
Ogden, UT 84405-4869
Phone: (801) 475-3010
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 12262766-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 0010-05928 (NC)

Record details

NPI number1073981437
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 2, 2015
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021
Mailing addressPo Box 5546, Denver, CO 80217-5546

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ogden Clinic Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ogden