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Robert Jelaco, PA-C
NPI 1164411914 · Physician Assistant · Ogden, UT
Robert Jelaco, PA-C is a Physician Assistant provider in Ogden, UT (NPI 1164411914).
Provider details
- NPI number
- 1164411914
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 102917-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4650 Harrison Blvd
Ogden, UT 84403-4303
Phone: (801) 475-3000
Fax: (801) 475-3001
Street-level locationGet directions
Mailing address
4650 Harrison Blvd
Ogden, UT 84403-4303
Registry dates
- Enumerated
- 2005-10-14
- Last updated
- 2013-02-06
Frequently asked questions
- What is Robert Jelaco's NPI number?
- Robert Jelaco's National Provider Identifier (NPI) is 1164411914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Jelaco's specialty?
- Robert Jelaco is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Robert Jelaco located?
- Robert Jelaco's practice location on file with NPPES is 4650 Harrison Blvd, Ogden, UT 84403-4303.
- What is Robert Jelaco's phone number?
- The practice phone number listed in the NPPES registry for Robert Jelaco is (801) 475-3000.
- Is Robert Jelaco's NPI active?
- Yes — Robert Jelaco's NPI (1164411914) is active in the NPPES registry as of the last update on 2013-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.