Utah Podiatry Group LLC
NPI 1457847964ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Salt Lake City, UT
Podiatrist, Foot & Ankle Surgery in Salt Lake City, Utah, registered in NPPES in July 2018, part of Utah Podiatry Group LLC. The authorized official on file is Scott A. Clark, Dpm. Enrolled in Medicare as dme supplier - physician - podiatry.
Overview
| NPI | 1457847964 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Utah Podiatry Group LLC |
| NPI issued | Jul 9, 2018 |
| Last updated in NPPES | Oct 27, 2025 |
| Certified by provider | Oct 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | — |
| Podiatrist | 213E00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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) | Enrolled DME Supplier - Physician - Podiatry (UT) |
|---|
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