Individual provider Active NPI

Elizabeth Rhodes-Wood

  • Physician Assistant
  • Garland, UT
National Provider Identifier
1730990037
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
300 W 1400 S
Garland, UT 84312-9100
Phone
(435) 257-2469
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

300 W 1400 S
Garland, UT 84312-9100

Mailing address

11 E Hill Haven Dr
Perry, UT 84302-4571
Phone (435) 215-8423

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214002715 UT Practitioner - Physician Assistant 4082144308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bear River Medical Arts PCGroup PAC ID 5890727887, 3 clinicians

Practice addresses (Care Compare)

300 W 1400
Garland, UT 84312-9100
Phone (435) 257-2469

300 W 1400
Garland, UT 84312-9393

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas C. Walker D.O., P.C. CurrentSince Jan 19, 2025 Accepting new patients

Locations

300 W 1400 S
Garland, UT 84312
Phone (435) 257-2469

300 W 1400 S
Ste A
Garland, UT 84312

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1730990037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E HILL HAVEN DR",
            "city": "PERRY",
            "state": "UT",
            "postal_code": "843024571",
            "telephone_number": "435-215-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 1400 S",
            "city": "GARLAND",
            "state": "UT",
            "postal_code": "843129100",
            "telephone_number": "435-257-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES-WOOD",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, UT

Sources for this page

Verify at the official NPI Registry.