Active NPI
Tyler Thomas Wood, DO
- Internal Medicine Physician
- Draper, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12317495-1204
- Practice address
- 11724 S State St
Draper, UT 84020-7163 - Phone
- (801) 965-3600
- NPI assigned
- Jun 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | ID | ||
| Internal Medicine Physician | 207R00000X | 12317495-1204 | UT | Primary |
Addresses
Primary practice location
11724 S State St
Draper, UT 84020-7163
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600
Other practice location 1
2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600
Other practice location 2
98 Poplar Street, Blackfoot, ID 83221
Blackfoot, ID 83221
Phone (208) 782-2950
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600
Hospital & facility affiliations
- True North Home Health
- Intermountain Medical Center
- St Mark'S Hospital
- Holy Cross Hospital-Jordan Valley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granger Medical Clinic Inc | Multi-Specialty | Current | Accepting new patients |
| Granger Medical Specialists LLC | Multi-Specialty | Current | Accepting new patients |
| Granger Medical Specialists, LLC | Multi-Specialty | Current | Accepting new patients |
| Granger Medical Clinic PC | Multi-Specialty | Current | Accepting new patients |
| Granger Medical Clinic PC | Past | Accepting new patients |
Locations
12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700
995 W Levoy Dr
Taylorsville, UT 84123
7181 S Campus View Dr
Ste 200
West Jordan, UT 84084
Phone (801) 965-3505
3725 W 4100 S
West Valley City, UT 84120
Phone (801) 965-3545
2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- West Valley City, UT
- NPI 1184657041
-
- Multi-Specialty Clinic/Center
- Riverton, UT
- NPI 1881797876
-
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1497441539
-
- Multi-Specialty Clinic/Center
- West Jordan, UT
- NPI 1104857549
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
-
- Home Health Agency
- South Salt Lake, UT
- NPI 1851303390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1962994962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 W 3500 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193602",
"telephone_number": "801-965-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11724 S STATE ST",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207163",
"telephone_number": "801-965-3600"
}
],
"practiceLocations": [
{
"address_1": "2965 W 3500 S",
"address_purpose": "LOCATION",
"city": "West Valley City",
"state": "UT",
"postal_code": "841193602",
"country_code": "US",
"telephone_number": "801-965-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "98 Poplar Street, Blackfoot, ID 83221",
"address_purpose": "LOCATION",
"city": "Blackfoot",
"state": "ID",
"postal_code": "83221",
"country_code": "US",
"telephone_number": "208-782-2950",
"fax_number": "208-785-9682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "TYLER",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "12317495-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.