Organization Active NPI

Innovation Medical Group PC

Doing business as Innovation Medical Group

  • Podiatrist
  • Salt Lake City, UT
National Provider Identifier
1235526682
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Taylor G Wright, DPMNPI 1356637409
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NM, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150804003913 UT Part B Supplier - Clinic/Group Practice 8426362450 Receives reassigned benefits from 28 practitioners
Practice locations: Blanding, UT; Layton, UT; Monticello, UT; Provo, UT; Salt Lake City, UT; St George, UT
O20211222001412 NM Part B Supplier - Clinic/Group Practice 8426362450 Receives reassigned benefits from 18 practitioners
Practice locations: Aztec, NM; Farmington, NM; Gallup, NM
O20220204000067 CO Part B Supplier - Clinic/Group Practice 8426362450 Receives reassigned benefits from 22 practitioners
Practice locations: Cortez, CO; Durango, CO; Pagosa Springs, CO; Silverton, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2302130Innovation Medical Group406 S Park Ave, Aztec, NM 87410Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

Locations

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.

View all 58

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": [
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        },
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        }
    ],
    "practiceLocations": [
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            "address_1": "3360 S 15th E",
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            "postal_code": "834048321",
            "country_code": "US",
            "telephone_number": "208-932-7024",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "6405 S 3000 E Ste 201",
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            "fax_number": "970-616-6745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
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            "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",
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            "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.

Verify at the official NPI Registry.