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

Ryan Busch

Individual provider Physician Assistant · NPI 1831590504

Ryan Busch is a Physician Assistant in Pleasant Grove, Utah. Qualified in 2024, 2 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2014

Practice location Address checks out

35 S 1200 W
Pleasant Grove, UT 84062-2984
Phone: (916) 208-6295
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12315115-1206 (UT)

Record details

NPI number1831590504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2014
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address35 S 1200 W, Pleasant Grove, UT 84062-2984

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)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Pleasant Grove