Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Walker Lelis, PA-C

Individual provider Medical Physician Assistant · NPI 1275812208

Mr. John Walker Lelis, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2011, 15 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2011
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

5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-4017
Fax: (801) 507-4809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 339 E 3900 S, Salt Lake City, UT 84107-1677 — (801) 263-1056

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8516577-1206 (UT)

Record details

NPI number1275812208
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2011
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021

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 locations5 on file with Medicare

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