OrganizationActive
Woodmead Medical Clinic PLLC
NPI 1194013870 · Clinic/Center · Bountiful, UT
Provider details
- NPI number
- 1194013870
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gavin Van Staden, Owner(801) 296-0600
- License
- 284903-1205 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3263 S Highway 89
Suite 300
Bountiful, UT 84010-8555
Phone: (801) 296-0600
Fax: (801) 295-1700
Street-level locationGet directions
Mailing address
3263 S Highway 89
Bountiful, UT 84010-8555
Registry dates
- Enumerated
- 2011-07-15
- Last updated
- 2011-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.