Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shawn M Pendleton, PA-C

Individual provider Physician Assistant · NPI 1588171060

Shawn M Pendleton, PA-C is a Physician Assistant in South Jordan, Utah. Qualified in 2017, 9 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
9
Licensed in
UT
In the registry since
2018
Specialties on file
2
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

661 W South Jordan Pkwy
South Jordan, UT 84095-8524
Phone: (801) 302-2690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4403 Harrison Blvd Ste 2400, Ogden, UT 84403-3297 — (801) 387-2750

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9147996-1206 (UT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588171060
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2018
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address661 W South Jordan Pkwy, South Jordan, UT 84095-8524

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in South Jordan