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

Robert A Jelaco, PA-C

Individual provider Physician Assistant · NPI 1164411914

Robert A Jelaco, PA-C is a Physician Assistant in Ogden, Utah. Licensed in Utah. Registered with an NPI since 2005.

Licensed in
UT
In the registry since
2005
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 →

Practice location Address checks out

4650 Harrison Blvd
Ogden, UT 84403-4303
Phone: (801) 475-3000
Fax: (801) 475-3001
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102917-1206 (UT)

Record details

NPI number1164411914
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESFebruary 6, 2013

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