Individual provider Active NPI

David Lawrence Deaton, PA

  • Medical Physician Assistant
  • Mt Pleasant, UT
National Provider Identifier
1104844224
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8469216-1206 Issued in UT
Practice address
1100 S Medical Dr
Mt Pleasant, UT 84647-2222
Phone
(435) 462-3471
NPI assigned
Jul 17, 2006
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA654 NV
Medical Physician Assistant 363AM0700X 8469216-1206 UT Primary

Addresses

Primary practice location

1100 S Medical Dr
Mt Pleasant, UT 84647-2222

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 462-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000444 UT Practitioner - Physician Assistant 2264420850 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA654NVMDMedical Physician Assistant
8469216-1206UTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 4, 2018 Accepting new patients
Emergency Medicine Physicians of Clark Umc McCourt PLLC Past Accepting new patients

Locations

525 N Main St
Ephraim, UT 84627
Phone (435) 283-4075

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

159 N Main St
Manti, UT 84642
Phone (435) 835-3344

1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1104844224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "435-462-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MEDICAL DR",
            "city": "MT PLEASANT",
            "state": "UT",
            "postal_code": "846472222",
            "telephone_number": "435-462-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATON",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA654",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "8469216-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, UT

Sources for this page

Verify at the official NPI Registry.