MICHELLE ANN SESTAK PA-C NPI 1508175563

NPI Information

NPI: 1508175563
Provider Name: MICHELLE ANN SESTAK, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: UNIVERSITY OF UTAH ADULT SERVICES

PECOS Registration: Yes

Address:
1756 PARK AVE
RIVERTON, UT
ZIP 84065
Phone: (801) 254-0309
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Michelle Ann Sestak, PA-C is a surgical physician assistant in Riverton, UT with 14 years of experience. Michelle Ann Sestak, PA-C NPI is 1508175563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1756 PARK AVE
RIVERTON, UT
ZIP 84065-701
Phone: (801) 254-0309
Fax: (801) 254-1012

The NPI 1508175563 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/24/2010 and was last updated on 11/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5707622-1206	UTAH	No
2	363AS0400X	Physician Assistant	Surgical	5707622-1206	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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