Individual provider Active NPI

James D Sutton, PA-C

  • Physician Assistant
  • Provo, UT
National Provider Identifier
1265809024
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9515819-1206 Issued in UT
Practice address
1750 N Wymount Terrace Drive
Provo, UT 84604-8600
Phone
(801) 422-2000
Fax
(801) 422-0959
NPI assigned
Aug 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9515819-1206 UT Primary

Addresses

Primary practice location

1750 N Wymount Terrace Drive
Provo, UT 84604-8600

Mailing address

1750 N Wymount Ter Dr.
Provo, UT 80604
Phone (435) 755-6061

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
I20151208001556 UT Practitioner - Physician Assistant 4183924558 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Community Health Center Inc CurrentSince Nov 9, 2019 Accepting new patients
Midtown Community Health Center Inc CurrentSince Nov 9, 2019 Accepting new patients
Brigham Young University Past Accepting new patients
Brigham Young University Past Accepting new patients
Utah Valley Radiology Associates Inc PastSince May 1, 2008 Accepting new patients

Locations

2240 Adams Ave
Ogden, UT 84401
Phone (801) 393-5355

Interoperability endpoints

  • Direct secure messaging: james.sutton.1@13794.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1265809024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N WYMOUNT TER DR.",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "80604",
            "telephone_number": "435-755-6061",
            "fax_number": "435-994-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N WYMOUNT TERRACE DRIVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846048600",
            "telephone_number": "801-422-2000",
            "fax_number": "801-422-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9515819-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.