JON-DAVID ETHINGTON PA-C
NPI 1891984290
Physician Assistant - Surgical in Murray, UT

Q: What is Jon-david Ethington's NPI number?

The NPI number for Jon-david Ethington is 1891984290. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Q: What is Jon-david Ethington's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since October 22, 2007PECOS EnrolledAccepts Medicare Assignment

5121 S COTTONWOOD ST, MURRAY, UT 84107(801) 507-4707 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Aug 19, 2016 (2 updates tracked since 2016).

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About Jon-david Ethington Pa-c NPPES

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

JON-DAVID ETHINGTON PA-C (NPI 1891984290) is an individual surgical provider in Murray, Utah, licensed in Utah (5065151-1206) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains a secondary practice location in West Valley City.

NPPES Registry Identity

NPI1891984290

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJON-DAVID ETHINGTONCredential: PA-C

Location Address5121 S COTTONWOOD STMurray, UT 84107-5701

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 507-4707

Phone(801) 507-4707

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2007

Enumeration DateOctober 22, 2007

Last NPPES UpdateMay 1, 20262 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1891984290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in UT · 5065151-1206

Also ListedPhysician AssistantTaxonomy 363A00000X

5121 S COTTONWOOD ST, Murray, UT 84107

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Secondary Practice Location 1

Location 13336 S Pioneer Pkwy Ste 203West Valley City, UT 84120-6077 · Phone (801) 290-7153

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jon-david Ethington Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022190750

PECOS Enrollment IDI20110912000663, I20250506001987

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Programming of single, dual, or multiple lead or leadless pacemaker system before or after surgery 93286

Pacemaker programming is a process to set your pacemaker's pace to support your heart's needs. It can be done for single, dual, or multiple lead pacemakers, either before or after surgery. It's a safe, routine procedure to ensure optimal heart function.

136 services65 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

87 services87 patients

Programming of single, dual or multiple lead implantable defibrillator system before or after surgery 93287

Programming an implantable defibrillator system involves setting up the device to monitor your heart rhythm and deliver therapy as needed. This can be done before or after surgery. The device can have single, dual, or multiple leads depending on your specific heart condition.

41 services20 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

20 services18 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system 93289

This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

St Johns Medical Center

Acute Care Hospitals · Jackson, WY

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number530015

Location625 East BroadwayJackson, WY 83001 · Teton County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

ANASTASIYA MANKOUSKI MD

Pediatrics (Neonatal-Perinatal Medicine)

5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107

Salt Lake County (801) 507-7000

TARYN A. YOUNG MD

Hospitalist

5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107

Salt Lake County (801) 507-4384

NATHANIEL ALAN KELLER DPT

Physical Therapist

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (805) 798-2901

JENNIFER LAWLEY RN

Student in an Organized Health Care Education/Training Program

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-7000

DR. JARED DAVID MILLER MD

Internal Medicine (Clinical Cardiac Electrophysiology)

5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107

Salt Lake County (801) 507-3500

JONATHAN MIDDLEMISS PA-C

Physician Assistant

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-3460

RICHA PARAG SHETH MD

Internal Medicine

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-7000

ANDREW SCOTT BIESINGER NP

Nurse Practitioner

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-3462

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 Jon-david Ethington's NPI number?

The NPI number for Jon-david Ethington is 1891984290. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Where is Jon-david Ethington located?

Jon-david Ethington practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-4707.

What is Jon-david Ethington's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jon-david Ethington enrolled in Medicare?

Yes. Jon-david Ethington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jon-david Ethington accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and Select Health list Jon-david Ethington 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.

Is Jon-david Ethington affiliated with any hospitals?

According to CMS data, Jon-david Ethington is affiliated with Intermountain Medical Center and St Johns Medical Center.

When was this NPI record last updated?

The NPPES record for Jon-david Ethington was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.