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DR. JACKSON J WOODS MD
NPI 1417065475
Family Medicine in Salt Lake City, UT

Active since August 29, 2006
1525 W 2100 S, SALT LAKE CITY, UT 84119(801) 213-9900 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jackson J Woods Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKSON J WOODS MD (NPI 1417065475) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (157959-1205) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1417065475
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACKSON J WOODSCredential: MD
Location Address1525 W 2100 SSalt Lake City, UT 84119-1401
Mailing AddressPo Box 510708Salt Lake City, UT 84151-0708 · (801) 213-3900
Phone(801) 213-9900
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 15, 2014
✔ NPI 1417065475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 157959-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1525 W 2100 S, Salt Lake City, UT 84119
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Other Identifiers 3

Medicaid05118UT
Medicare UPINE27875UT
Medicare ID-Type Unspecified005533574UT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA M MATHEWSON MD
Family Medicine
1525 W 2100 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 887-2400
HUGH M STONEBURNER
Internal Medicine
1525 W 2100 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 581-2121
SUSAN HUCKENDUBLER STEPHENSON PHARM.D.
Pharmacist
1525 W 2100 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 213-9150
OUSSAMA HAMDOUN DAVIS INTERPRETER CERT.
Interpreter
1525 W 2100 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 213-9900
DANIEL MILES FIDLER
Nurse Practitioner (Family)
1525 W 2100 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 213-9900
DR. SHANNON L TILLY MD
Obstetrics & Gynecology
1525 W 2100 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 213-9900
DR. ELAINA G LINDBERG PHARMD
Pharmacist
1525 W 2100 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 213-9950
UNIVERSITY OF UTAH
Pharmacy (Community/Retail Pharmacy)
1525 W 2100 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 213-9950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Woods's NPI number?

The NPI number for Jackson Woods is 1417065475. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Jackson Woods located?

Jackson Woods practices at 1525 W 2100 S, Salt Lake City, UT 84119. The listed phone number is (801) 213-9900.

What is Jackson Woods's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jackson Woods was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.