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

Mr. Jordan Tyler Foulger, PA

Individual provider Physician Assistant · NPI 1417432063

Mr. Jordan Tyler Foulger, PA is a Physician Assistant in Draper, Utah. Qualified in 2018, 8 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
8
Licensed in
AZ, UT
In the registry since
2018
Specialties on file
2
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

12473 S Minuteman Dr
Draper, UT 84020-7870
Phone: (801) 495-7970
Fax: (801) 495-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5994 S Hospital Dr, Globe, AZ 85501-9462 — (928) 425-7108

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13574229-1206 (UT)
Physician Assistant Taxonomy 363A00000X (AZ)

Record details

NPI number1417432063
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 29, 2018
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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