Active NPI
Innovation Medical Group PC
Doing business as Innovation Medical Group
- Podiatrist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- INNOVATION MEDICAL GROUP PC
- Doing business as
- Innovation Medical Group
- Practice address
- 6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977 - Phone
- (801) 266-3113
- Fax
- (801) 266-5633
- NPI assigned
- Apr 23, 2015
- Last updated
- Jul 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taylor G Wright, DPM
- Title
- Ceo
- Phone
- (801) 266-3113
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular-Interventional Technology Radiologic Technologist | 2471V0106X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Physician Assistant | 363A00000X | |||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Registered Nurse | 163W00000X | |||
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Wound Care Registered Nurse | 163WW0000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Surgery Physician | 208600000X | |||
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977
Mailing address
6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977
Phone (801) 266-3113
Other practice location 1
3360 S 15th E
Idaho Falls, ID 83404-8321
Phone (208) 932-7024
Other practice location 2
6405 S 3000 E Ste 201
Salt Lake City, UT 84121-6990
Phone (801) 266-3113
Other practice location 3
27B Talisman Dr Unit 2
Pagosa Springs, CO 81147-7914
Phone (970) 903-9853
Other practice location 4
2095 N Dolores Rd
Cortez, CO 81321-8924
Phone (970) 564-8086
Other practice location 5
1125 S Camino Del Rio Ste 300B
Durango, CO 81303-6886
Phone (970) 659-9850
Other practice location 6
745 S Progress Ave Ste 150
Meridian, ID 83642-5610
Phone (208) 813-1958
Other practice location 7
406 S Park Ave
Aztec, NM 87410
Phone (505) 334-2852
Other practice location 8
1315 Snowden St
Silverton, CO 81433-5108
Phone (970) 903-9853
Other practice location 9
4760 N Butler Ave Ste B2
Farmington, NM 87401-0816
Phone (505) 324-6300
Other practice location 10
3152 N University Ave
Suite 240
Provo, UT 84604
Phone (801) 900-5655
Other practice location 11
1900 E Historic Highway 66 Ste 1
Gallup, NM 87301-4883
Phone (505) 324-6300
Other practice location 12
16 E 300 S
Monticello, UT 84535
Phone (435) 270-0271
Other practice location 13
965 E 700 S Ste 105
St George, UT 84790-4084
Phone (435) 775-2324
Other practice location 14
836 S Angel St Ste 102
Layton, UT 84041-3687
Phone (435) 291-1375
Other practice location 15
4740 N Butler Ave
Farmington, NM 87401-0826
Phone (505) 324-6300
Other practice location 16
3360 Washington Pkwy
Idaho Falls, ID 83404-8332
Phone (208) 932-7024
Other practice location 17
270 E 8th Ave Ste N102
Durango, CO 81301-5708
Phone (801) 266-3113
Other practice location 18
46 N Main St
Blanding, UT 84511-2830
Phone (435) 270-0271
Other names 1
- Innovation Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NM, CO
Enrollment records 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2302130 | Innovation Medical Group | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
1125 S Camino del Rio
#300B
Durango, CO 81303
Phone (970) 659-9850
1125 S Camino del Rio
Ste 300
Durango, CO 81303
27B Talisman Dr
Unit 1
Pagosa Springs, CO 81147
27B Talisman Dr
Unit 2
Pagosa Springs, CO 81147
Phone (970) 903-9853
3360 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 932-7024
745 S Progress Ave
Ste 150
Meridian, ID 83642
Phone (208) 813-1958
4760 N Butler Ave
Ste B2
Farmington, NM 87401
Phone (505) 324-6300
4760 N Butler Ave
Ste D
Farmington, NM 87401
Phone (505) 324-6300
836 S Angel St
Layton, UT 84041
Phone (435) 291-1375
836 S Angel St
Ste 102
Layton, UT 84041
Phone (435) 291-1375
3152 N University Ave
Ste 201
Provo, UT 84604
6405 S 3000 E
Ste 201
Salt Lake City, UT 84121
740 E 3900 S
Ste 108
Salt Lake Cty, UT 84107
Phone (801) 382-8259
965 E 700 S
Ste 10
St George, UT 84790
Practitioners & affiliated clinicians
Practitioners 58
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Blanding, UT
- NPI 1376191296
CO, Registered Nurse
-
- Podiatrist
- Holladay, UT
- NPI 1356832398
-
- Family Nurse Practitioner
- Aztec, NM
- NPI 1881415685
-
- Family Medicine Physician
- Cortez, CO
- NPI 1205857406
-
- Family Nurse Practitioner
- Centennial, CO
- NPI 1891184875
-
- Family Nurse Practitioner
- Durango, CO
- NPI 1790032787
NM, Registered Nurse, UT
-
- Family Nurse Practitioner
- Farmington, NM
- NPI 1740170141
-
- Psychiatric/Mental Health Nurse Practitioner
- Aztec, NM
- NPI 1568288223
Family
-
- Anatomic Pathology & Clinical Pathology Physician
- San Antonio, TX
- NPI 1720048598
CO, Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785024000000",
"number": "1235526682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 S 3000 E STE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216977",
"telephone_number": "801-266-3113",
"fax_number": "801-266-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 S 3000 E STE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216977",
"telephone_number": "801-266-3113",
"fax_number": "801-266-5633"
}
],
"practiceLocations": [
{
"address_1": "3360 S 15th E",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834048321",
"country_code": "US",
"telephone_number": "208-932-7024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6405 S 3000 E Ste 201",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841216990",
"country_code": "US",
"telephone_number": "801-266-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27B Talisman Dr Unit 2",
"address_purpose": "LOCATION",
"city": "Pagosa Springs",
"state": "CO",
"postal_code": "811477914",
"country_code": "US",
"telephone_number": "970-903-9853",
"fax_number": "970-616-6745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2095 N Dolores Rd",
"address_purpose": "LOCATION",
"city": "Cortez",
"state": "CO",
"postal_code": "813218924",
"country_code": "US",
"telephone_number": "970-564-8086",
"fax_number": "970-564-8087",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 S Camino Del Rio Ste 300B",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813036886",
"country_code": "US",
"telephone_number": "970-659-9850",
"fax_number": "970-579-6750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "745 S Progress Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836425610",
"country_code": "US",
"telephone_number": "208-813-1958",
"fax_number": "208-600-6905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "406 S Park Ave",
"address_purpose": "LOCATION",
"city": "Aztec",
"state": "NM",
"postal_code": "87410",
"country_code": "US",
"telephone_number": "505-334-2852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1315 Snowden St",
"address_purpose": "LOCATION",
"city": "Silverton",
"state": "CO",
"postal_code": "814335108",
"country_code": "US",
"telephone_number": "970-903-9853",
"fax_number": "970-616-6745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4760 N Butler Ave Ste B2",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874010816",
"country_code": "US",
"telephone_number": "505-324-6300",
"fax_number": "505-327-2218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3152 N University Ave",
"address_2": "Suite 240",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "84604",
"country_code": "US",
"telephone_number": "801-900-5655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 E Historic Highway 66 Ste 1",
"address_purpose": "LOCATION",
"city": "Gallup",
"state": "NM",
"postal_code": "873014883",
"country_code": "US",
"telephone_number": "505-324-6300",
"fax_number": "505-327-2218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 E 300 S",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "UT",
"postal_code": "84535",
"country_code": "US",
"telephone_number": "435-270-0271",
"fax_number": "435-270-0273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "965 E 700 S Ste 105",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847904084",
"country_code": "US",
"telephone_number": "435-775-2324",
"fax_number": "435-775-2041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "836 S Angel St Ste 102",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840413687",
"country_code": "US",
"telephone_number": "435-291-1375",
"fax_number": "801-823-6595",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4740 N Butler Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874010826",
"country_code": "US",
"telephone_number": "505-324-6300",
"fax_number": "505-327-2218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3360 Washington Pkwy",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834048332",
"country_code": "US",
"telephone_number": "208-932-7024",
"fax_number": "208-904-4447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "270 E 8th Ave Ste N102",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813015708",
"country_code": "US",
"telephone_number": "801-266-3113",
"fax_number": "801-266-5633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46 N Main St",
"address_purpose": "LOCATION",
"city": "Blanding",
"state": "UT",
"postal_code": "845112830",
"country_code": "US",
"telephone_number": "435-270-0271",
"fax_number": "435-270-0272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INNOVATION MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-23",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "TAYLOR",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-266-3113",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "2471V0106X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular-Interventional Technology",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Innovation Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.