Individual provider Active NPI

Chad Allen Parrish, PA

  • Physician Assistant
  • Salem, UT
National Provider Identifier
1992990311
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
118 N Main St
Ste B
Salem, UT 84653-5698
Phone
(801) 477-9007
Fax
(801) 477-9006
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 Primary

Addresses

Primary practice location

118 N Main St
Ste B
Salem, UT 84653-5698

Mailing address

PO Box 909
Salem, UT 84653-0909
Phone (801) 477-9007

Other identifiers 1

IdentifierTypeStateIssuer
1992990311MedicaidUT

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
I20080124000474 UT Practitioner - Physician Assistant 7214019660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pacific Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillside Medical Clinic LLCGroup PAC ID 0941461727, 4 clinicians

Practice addresses (Care Compare)

118 N Main St
Suite B
Salem, UT 84653-5698
Phone (801) 477-9007

118 N Main St B
Salem, UT 84653-5698

Hospital & facility affiliations

  • Intermountain Health Spanish Fork Hospital Hospital, Spanish Fork, UT, CCN 460062
  • Mountain View Hospital Hospital, Payson, UT, CCN 460013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Home Health Care, LLC PastSince Apr 30, 2003 Accepting new patients
Timpanogos Emergency Physicians LLC Family Medicine Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1992990311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846530909",
            "telephone_number": "801-477-9007",
            "fax_number": "801-477-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MAIN ST",
            "address_2": "STE B",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846535698",
            "telephone_number": "801-477-9007",
            "fax_number": "801-477-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "CHAD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992990311",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, UT

Sources for this page

Verify at the official NPI Registry.