Kelly H Woodward I, D.O., M.P.H.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

9693614-1204 Issued in UT

Practice address

5532 Lillehammer LN Ste 102
Park City, UT 84098-6078

Phone

(435) 659-7633

Fax

(971) 397-0394

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Preventive Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Park City Hospital Hospital, Park City, UT, CCN 460057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• Direct secure messaging: kelly.woodward.1@14863.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880

  Family Medicine

  Medicare reassignment NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Autumn Bear Acupuncture PLLC

  • Health Service Clinic/Center
  • Park City, UT
  • NPI 1841614625
  NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1326669789

  Family Medicine

  NPD
• Ihc Health Services Inc

  • Medical Oncology Physician
  • Salt Lake City, UT
  • NPI 1679867477
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Ihc Health Services Inc

  • Family Medicine Physician
  • Monroe, UT
  • NPI 1912256611
  NPD (past)
• Ihc Health Services Inc

  • Family Medicine Physician
  • Provo, UT
  • NPI 1992831218
  NPD (past)
• Commonwealth of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Arrington, VA
  • NPI 1679580922
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services Inc

  • General Acute Care Hospital
  • Park City, UT
  • NPI 1851530984
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1548243645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 CANYON DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985382",
            "telephone_number": "703-907-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 LILLEHAMMER LN STE 102",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986078",
            "telephone_number": "435-659-7633",
            "fax_number": "971-397-0394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Homestead Rd",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840984881",
            "country_code": "US",
            "telephone_number": "435-940-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "KELLY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9693614-1204",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "UT",
            "license": "9693614-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.woodward@direct.imail.org",
            "affiliation": "N",
            "address_1": "900 Round Valley Dr",
            "address_2": "Suite 250",
            "city": "Park City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840607552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia K Winkelman, D.C.
• Robert T Winn, M.D.
• Amanda Jane Wissler, LCSW
• Kenneth Alan Wolkoff, M.D.
• Kary Ellen Woodruff, R.D., M.S., C.D.
• Cade Benjamin Woolsey
• Courtney N. Woolsey, RD
• Shelley Worley
• Samantha Worrall, CCC-SLP
• Archibald Wright III, ACMHC

• Public Health & General Preventive Medicine Physician in Park City, UT
• Providers in Park City, UT by specialty
• Public Health & General Preventive Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.