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GRANGER MEDICAL SPECIALISTS LLC
NPI 1104567882
Clinic/Center - Multi-Specialty in Riverton, UT

Active since April 05, 2022
12391 S 4000 W, RIVERTON, UT 84096(801) 302-1700 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Granger Medical Specialists Llc NPPES

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

GRANGER MEDICAL SPECIALISTS LLC (NPI 1104567882) is a healthcare organization registered as a multi-specialty in Riverton, Utah and active in the NPI registry since April 2022. The organization lists Mary Jane Pennington, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1104567882
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGRANGER MEDICAL SPECIALISTS LLC
Location Address12391 S 4000 WRiverton, UT 84096-7012
Mailing Address7181 S Campus View Dr Ste 200West Jordan, UT 84084-4312 · (801) 965-3505
Phone(801) 302-1700
Organization SubpartYes
Authorized OfficialMary Jane PenningtonPresident/ceo · (801) 965-3600
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1104567882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
12391 S 4000 W, Riverton, UT 84096
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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.

DR. MONICA CHILD WONNACOTT M.D.
Pediatrics
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
CHRISTOPHER J. JOLLES MD, PC
Specialist
12391 S 4000 W, STE 208
RIVERTON, UT 84096
Salt Lake County (801) 302-5360
APEX FAMILY & COSMETIC DENTISTRY
Dentist (General Practice)
12391 S 4000 W, SUITE 206
RIVERTON, UT 84096
Salt Lake County (801) 748-0379
MR. ADAM CODY CHRISTIANSEN PA-C
Physician Assistant
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
MR. BRAD ROBERT PULSIPHER MSN-FNP
Nurse Practitioner (Primary Care)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
AUBREY ROCHELLE GEORGE FNP-C
Nurse Practitioner (Family)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
GARRETT KORDSIEMON PA-C
Physician Assistant (Medical)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 965-3600
NECIA DALLEY DNP
Nurse Practitioner
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1750

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 Granger Medical Specialists LLC's NPI number?

The NPI number for Granger Medical Specialists LLC is 1104567882. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Granger Medical Specialists LLC located?

Granger Medical Specialists LLC is located at 12391 S 4000 W, Riverton, UT 84096. The listed phone number is (801) 302-1700.

What is Granger Medical Specialists LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Granger Medical Specialists LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.