Physician Assistant
Mr. RYAN ELLIS PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528336146 · enumerated 2011-12-09 · record updated 2026-08-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 27128, SALT LAKE CITY, UT, 84127-0128 Google Maps Apple Maps OpenStreetMap
- Practice location 5373 W LAKE PARK BLVD, WEST VALLEY CITY, UT, 84120-8208 (801) 902-8010 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · License pa21959 CA
- Physician Assistant 363A00000X · Primary · License 13875135-1206 UT
Published links
In this directory
Locations and evidence
-
Practice location
WEST VALLEY CITY, UT, 841208208
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.