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

Skyler Lee Gallegos, PA-C

Individual provider Physician Assistant · NPI 1811554694

Skyler Lee Gallegos, PA-C is a Physician Assistant in Ogden, Utah. Qualified in 2019, 7 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas and Utah.

Years since qualifying
7
Licensed in
TX, UT
In the registry since
2019
Specialties on file
3
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

4403 Harrison Blvd Ste 2400
Ogden, UT 84403-3297
Phone: (801) 387-2750
Fax: (801) 387-2755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 S Coulter St, Amarillo, TX 79106-1836 — (806) 468-9700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12056611-1206 (UT)
Physician Assistant Taxonomy 363A00000X (TX)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1811554694
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ogden