MEDICARE: ELIZABETH ASHBY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	10457443-1206	UT

General Provider Information

NPI Number	:	1528689528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ASHBY PA

Provider Business Mailing Address
First Line	:	744 INDEPENDENCE WAY
Second Line	:
City	:	NORTH SALT LAKE
State	:	UT
Zip	:	84054-1624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 S 700 E STE 300A
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-1496
Country	:	US
Telephone Number	:	801-261-4988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2020
Last Update Date	:	12/07/2023

Similar Medicare Providers

1578561072 — ARUN V BIDWAI M.D.
Practice Location Address:

3838 S 700 E
SALT LAKE CITY, UT
84106-1496

Practice Phone: 801-261-4988
Practice Fax:

1841298346 — DR. JOHN ACKERLY M.D.
Practice Location Address:

3838 S 700 E
SALT LAKE CITY, UT
84106-1496

Practice Phone: 801-261-4988
Practice Fax:

1891793147 — THOMAS K TRAUBA
Practice Location Address:

3838 S 700 E
SALT LAKE CITY, UT
84106-1496

Practice Phone: 801-261-4988
Practice Fax: 801-269-9427

1053304204 — WONHONG DAVID MIN MD
Practice Location Address:

3838 S 700 E STE 300A
SALT LAKE CITY, UT
84106-1496

Practice Phone: 801-261-4988
Practice Fax: 801-269-9425

1295423283 — CHARLES L HEAD APRN
Practice Location Address:

3838 S 700 E STE 300
SOUTH SALT LAKE, UT
84106-1496

Practice Phone: 801-261-4988
Practice Fax:

1821079989 — DR. DAVID R MASIHDAS O D P C
Practice Location Address:

150 S 1000 E STE 100
SALT LAKE CITY, UT
84102-1496

Practice Phone: 801-363-2851
Practice Fax: 801-363-7186

Directions to “ ELIZABETH ASHBY PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.