Active NPI
Clayton S Wilde, MD
- Obstetrics & Gynecology Physician
- Salt Lake City, UT
National Provider Identifier
1275586083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 1694861205
- Practice address
- 1220 East 3900 South
Suite 3E
Salt Lake City, UT 84124 - Phone
- (801) 685-7188
- Fax
- (801) 685-8116
- NPI assigned
- May 19, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1694861205 | UT | Primary |
Addresses
Primary practice location
1220 East 3900 South
Suite 3E
Salt Lake City, UT 84124
Mailing address
1220 East 3900 South
Suite 3E
Salt Lake City, UT 84124
Phone (801) 685-7188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1694861205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt. Olympus Obstetrics and Gynecology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics Physician
- Salt Lake City, UT
- NPI 1619190899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275586083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 EAST 3900 SOUTH",
"address_2": "SUITE 3E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "801-685-7188",
"fax_number": "801-685-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 EAST 3900 SOUTH",
"address_2": "SUITE 3E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "801-685-7188",
"fax_number": "801-685-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDE",
"first_name": "CLAYTON",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "1694861205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.