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

Mr. Phillip James Goetz, PA-S

Individual provider Medical Physician Assistant · NPI 1336881408

Mr. Phillip James Goetz, PA-S is a Physician Assistant in Herriman, Utah. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2022

Practice location Address checks out

13142 S Eagle Peak Dr
Herriman, UT 84096-6969
Phone: (801) 636-9608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 142376661206 (UT)

Record details

NPI number1336881408
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorYes
NPI enumeratedApril 10, 2022
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare