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Organization

Innovation Medical Group PC

NPI Record: ActivePodiatrist
NPI1235526682
Salt Lake City, Utah

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 identified

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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Podiatrist

    Podiatric Medicine & Surgery Service Providers

    Primary

    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 163W00000X
  • Registered Nurse

    Infusion Therapy

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WI0500X
  • Registered Nurse

    Wound Care

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WW0000X
  • Family 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 207Q00000X
  • Pathology

    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 207ZP0102X
  • Surgery

    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 208600000X
  • Podiatrist

    Foot & Ankle Surgery

    Podiatric Medicine & Surgery Service Providers

    Definition to come...

    Taxonomy code 213ES0103X
  • Occupational 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 225X00000X
  • Radiologic 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 2471V0106X
  • Durable 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 332B00000X
  • Physician 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 363A00000X
  • Nurse Practitioner

    Community Health

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LC1500X
  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LF0000X
  • Nurse 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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