Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN M PENDLETON, PA-C
ActivePhysician Assistant · SOUTH JORDAN, UT
Registration Details
- NPI Number
- 1588171060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2018 (8.2920911370865 yrs)
- Last Updated
- Jul 28, 2025
- License
-
9147996-1206 (UT)
Practice Information
- Address
-
661 W SOUTH JORDAN PKWYSOUTH JORDAN, UT, 840958524Browse UT providers · Browse ZIP 84095
- Phone
- 8013022690
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SOUTH JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| MR. JONATHAN THOMAS BAIRD | PA-C, ATC | 1578525200 |
| ELMER G SISNEROS | PA | 1912963117 |
| DEIDRE CONOVER | PA-C | 1982741492 |
| CHUCK HUNG GEE | PA-C | 1972620417 |
| ERIN KIMBALL | PA-C | 1790034916 |
| MEGAN ELLICE CROOKSTON | — | 1659773216 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.