Individual provider Active NPI

Parker Dalin Eastwood, PA

  • Medical Physician Assistant
  • Murray, UT
National Provider Identifier
1700634375
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
14245219-1206 Issued in UT
Practice address
5242 S College Dr Ste 200
Murray, UT 84123-2918
Phone
(385) 365-5053
NPI assigned
May 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 14245219-1206 UT Primary

Addresses

Primary practice location

5242 S College Dr Ste 200
Murray, UT 84123-2918

Mailing address

651 N 100 W Apt H
Orem, UT 84057-3965
Phone (801) 995-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14245219-1206UTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain University of Health Professions Foundation CurrentSince May 12, 2024 Accepting new patients
First Care Medical-Orthomed LLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

5242 S College Dr
Ste 200
Murray, UT 84123
Phone (385) 246-5971

1800 Novell Pl
Provo, UT 84606
Phone (801) 375-5125

Organizations & group practices 2

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1700634375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N 100 W APT H",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573965",
            "telephone_number": "801-995-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 S COLLEGE DR STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232918",
            "telephone_number": "385-365-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTWOOD",
        "first_name": "PARKER",
        "middle_name": "DALIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "14245219-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.