Woodmead Medical Clinic PLLC
NPI 1194013870ActiveOrganization· Clinic/Center· Bountiful, UT
Clinic/Center in Bountiful, Utah, registered in NPPES in July 2011. The authorized official on file is Gavin N. Van Staden, M.D., Owner.
Overview
| NPI | 1194013870 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2011 |
| Last updated in NPPES | Jul 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 5863514-1205 | UT |
| Clinic/Center | 261Q00000X | 284903-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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