Organization
Innovation Medical Group PC
Provider's NPPES record last updated: July 26, 2026
Overview
- Entity Type
- Organization
- NPI
- 1235526682
- Primary Specialty
- Podiatrist
- Practice Location
- Salt Lake City, Utah
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 9:45 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Podiatrist
Podiatric Medicine & Surgery Service Providers
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Taxonomy code 213E00000X Registered Nurse
Nursing Service Providers
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Taxonomy code 163W00000XRegistered Nurse
Infusion Therapy
Nursing Service Providers
Definition to come...
Taxonomy code 163WI0500XRegistered Nurse
Wound Care
Nursing Service Providers
Definition to come...
Taxonomy code 163WW0000XFamily Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000XPathology
Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Taxonomy code 207ZP0102XSurgery
Allopathic & Osteopathic Physicians
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Taxonomy code 208600000XPodiatrist
Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213ES0103XOccupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Taxonomy code 225X00000XRadiologic Technologist
Vascular-Interventional Technology
Technologists, Technicians & Other Technical Service Providers
A radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of vascular interventional imaging, exam techniques, equipment protocols, radiation safety, and patient care.
Taxonomy code 2471V0106XDurable Medical Equipment & Medical Supplies
Suppliers
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Taxonomy code 332B00000XPhysician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000XNurse Practitioner
Community Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LC1500XNurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000XNurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X
Practice Locations
Practice Location
6405 S 3000 E Ste 300
Salt Lake City, Utah 84121-6977
Phone: (801) 266-3113
Additional Practice Location
3360 S 15th E
Idaho Falls, Idaho 83404-8321
Phone: (208) 932-7024
Additional Practice Location
6405 S 3000 E Ste 201
Salt Lake City, Utah 84121-6990
Phone: (801) 266-3113
Additional Practice Location
27b Talisman Dr Unit 2
Pagosa Springs, Colorado 81147-7914
Phone: (970) 903-9853
Fax: (970) 616-6745
Additional Practice Location
2095 N Dolores Rd
Cortez, Colorado 81321-8924
Phone: (970) 564-8086
Fax: (970) 564-8087
Additional Practice Location
1125 S Camino Del Rio Ste 300b
Durango, Colorado 81303-6886
Phone: (970) 659-9850
Fax: (970) 579-6750
Additional Practice Location
745 S Progress Ave Ste 150
Meridian, Idaho 83642-5610
Phone: (208) 813-1958
Fax: (208) 600-6905
Additional Practice Location
406 S Park Ave
Aztec, New Mexico 87410
Phone: (505) 334-2852
Additional Practice Location
1315 Snowden St
Silverton, Colorado 81433-5108
Phone: (970) 903-9853
Fax: (970) 616-6745
Additional Practice Location
4760 N Butler Ave Ste B2
Farmington, New Mexico 87401-0816
Phone: (505) 324-6300
Fax: (505) 327-2218
Additional Practice Location
3152 N University Ave
Suite 240
Provo, Utah 84604
Phone: (801) 900-5655
Additional Practice Location
1900 E Historic Highway 66 Ste 1
Gallup, New Mexico 87301-4883
Phone: (505) 324-6300
Fax: (505) 327-2218
Additional Practice Location
16 E 300 S
Monticello, Utah 84535
Phone: (435) 270-0271
Fax: (435) 270-0273
Additional Practice Location
965 E 700 S Ste 105
St George, Utah 84790-4084
Phone: (435) 775-2324
Fax: (435) 775-2041
Additional Practice Location
836 S Angel St Ste 102
Layton, Utah 84041-3687
Phone: (435) 291-1375
Fax: (801) 823-6595
Additional Practice Location
4740 N Butler Ave
Farmington, New Mexico 87401-0826
Phone: (505) 324-6300
Fax: (505) 327-2218
Additional Practice Location
3360 Washington Pkwy
Idaho Falls, Idaho 83404-8332
Phone: (208) 932-7024
Fax: (208) 904-4447
Additional Practice Location
270 E 8th Ave Ste N102
Durango, Colorado 81301-5708
Phone: (801) 266-3113
Fax: (801) 266-5633
Additional Practice Location
46 N Main St
Blanding, Utah 84511-2830
Phone: (435) 270-0271
Fax: (435) 270-0272
Other Names
- Innovation Medical GroupReported March 21, 2023
Record Information
- Enumeration Date
- April 23, 2015
- Provider's NPPES Record Last Updated
- July 26, 2026
- Certification Date
- July 26, 2026
- NPISignal NPPES Dataset
- August 2026
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