Individual provider Active NPI

Scott William Hadfield, PA-C

  • Surgical Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1770836397
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5869589-1206 Issued in UT
Practice address
24 S 1100 E Ste 105
Salt Lake City, UT 84102-1593
Phone
(801) 965-3600
NPI assigned
Oct 19, 2012
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5869589-1206 UT
Surgical Physician Assistant 363AS0400X 5869589-1206 UT Primary

Addresses

Primary practice location

24 S 1100 E Ste 105
Salt Lake City, UT 84102-1593

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600

Other practice location 1

3838 S 700 E
Suite 300A
Salt Lake City, UT 84106-1466
Phone (801) 261-4988

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
I20130606000070 UT Practitioner - Physician Assistant 8426296260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Granger Medical Clinic PCGroup PAC ID 3476465691, 192 clinicians

Practice addresses (Care Compare)

12391 S 4000
Riverton, UT 84096-7012
Phone (801) 302-1700

2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600

348 E 4500
Suite 200
Salt Lake City, UT 84107-8509
Phone (801) 262-9800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5869589-1206UTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Granger Medical Clinic PC CurrentSince Aug 1, 2023 Accepting new patients
Granger Medical Specialists, LLC CurrentSince Dec 1, 2020 Accepting new patients
Granger Medical Clinic PC CurrentSince Aug 1, 2023 Accepting new patients
Granger Medical Clinic PC Past Accepting new patients

Locations

11724 S State St
Ste 201
Draper, UT 84020

5323 S Woodrow St
Ste 203
Murray, UT 84107
Phone (801) 266-5559

12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700

24 S 1100 E
Ste 105
Salt Lake Cty, UT 84102
Phone (801) 266-3418

995 W Levoy Dr
Taylorsville, UT 84123

3181 W 9000 S
West Jordan, UT 84088
Phone (801) 352-5900

7181 S Campus View Dr
West Jordan, UT 84084
Phone (801) 965-3505

7181 S Campus View Dr
Ste 200
West Jordan, UT 84084
Phone (801) 965-3505

9001 S 3200 W
West Jordan, UT 84088
Phone (801) 569-5520

2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505

3725 W 4100 S
West Valley City, UT 84120
Phone (801) 965-3545

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1770836397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193602",
            "telephone_number": "801-965-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 1100 E STE 105",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021593",
            "telephone_number": "801-965-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 S 700 E",
            "address_2": "Suite 300A",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841061466",
            "country_code": "US",
            "telephone_number": "801-261-4988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADFIELD",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "5869589-1206",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "UT",
            "license": "5869589-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.