Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lucas Waddoups

Individual provider Physician Assistant · NPI 1295388627

Lucas Waddoups is a Physician Assistant in South Ogden, Utah. Graduated from University of Utah School of Medicine in 2020, 6 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2019

Practice location Address checks out

4381 S 900 E
South Ogden, UT 84403-2911
Phone: (801) 837-7274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11950477-1206 (UT)

Record details

NPI number1295388627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Ogden