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

Mr. Colby J Andersen, PA

Individual provider Physician Assistant · NPI 1124330865

Mr. Colby J Andersen, PA is a Physician Assistant in Logan, Utah. Qualified in 2010, 16 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado, Idaho and Utah.

Years since qualifying
16
Licensed in
CO, ID, UT
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

412 N 200 E
Logan, UT 84321-4038
Phone: (435) 713-2710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 550 E 1400 N, Logan, UT 84341-2406 — (435) 752-7060
  • 550 E 1400 N, Logan, UT 84341-2406 — (435) 752-7060

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10912261-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA1078 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA3028 (CO)

Record details

NPI number1124330865
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 10, 2010
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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