SETH M GRISHAM PA-C
NPI 1710402540
Physician Assistant - Medical in Salem, UT

Active since August 14, 2017PECOS Enrolled
555 W STATE ROAD 164, SALEM, UT 84653(801) 465-4896 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 3, 2022, Aug 14, 2017 (2 updates tracked since 2017).

About Seth M Grisham Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SETH M GRISHAM PA-C (NPI 1710402540) is an individual medical provider in Salem, Utah and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Spanish Fork.

NPPES Registry Identity

NPI1710402540
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSETH M GRISHAMCredential: PA-C
Location Address555 W STATE ROAD 164Salem, UT 84653-5732
Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604-3305 · (801) 354-8225
Sole ProprietorNo
Enumeration DateAugust 14, 2017
Last NPPES UpdateMay 3, 20222 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1710402540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
555 W STATE ROAD 164, Salem, UT 84653

Secondary Practice Location 1

Location 1972 N 600 ESpanish Fork, UT 84660-1306 · Phone (801) 465-4896

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seth M Grisham Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
555 W STATE ROAD 164
SALEM, UT 84653
Family Medicine
555 W STATE ROAD 164
SALEM, UT 84653
Physician Assistant
555 W STATE ROAD 164
SALEM, UT 84653
Physician Assistant
555 W STATE ROAD 164
SALEM, UT 84653
Physician Assistant
555 W STATE ROAD 164
SALEM, UT 84653
Nurse Practitioner (Family)
555 W STATE ROAD 164
SALEM, UT 84653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seth Grisham's NPI number?

The NPI number for Seth Grisham is 1710402540. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Where is Seth Grisham located?

Seth Grisham practices at 555 W State Road 164, Salem, UT 84653. The listed phone number is (801) 465-4896.

What is Seth Grisham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Seth Grisham enrolled in Medicare?

Yes. Seth Grisham is registered in the Medicare PECOS enrollment system.

What insurance does Seth Grisham accept?

Health plans from PacificSource Health Plans list Seth Grisham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seth Grisham was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.