GRANGER MEDICAL SPECIALISTS LLC
NPI 1174266035
Clinic/Center - Multi-Specialty in Draper, UT

Active since April 19, 2022
96 E KIMBALLS LN STE 304, DRAPER, UT 84020(801) 571-9433 Get Directions Write a Review

NPPES record last updated: April 19, 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 1174266035) is a healthcare organization registered as a multi-specialty in Draper, 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

NPI1174266035
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGRANGER MEDICAL SPECIALISTS LLC
Location Address96 E KIMBALLS LN STE 304Draper, UT 84020-5021
Mailing Address7181 S Campus View Dr Ste 200West Jordan, UT 84084-4312 · (801) 965-3505
Organization SubpartYes
Authorized OfficialMary Jane PenningtonPresident/ceo · (801) 965-3600
Enumeration DateApril 19, 2022
NPPES CertifiedApril 5, 2022
NPI 1174266035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
96 E KIMBALLS LN STE 304, Draper, UT 84020

Other Providers at the Same Location NPPES

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

Physical Medicine & Rehabilitation
96 E KIMBALLS LN STE 304
DRAPER, UT 84020

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 1174266035. It was assigned to this organization in the NPPES registry on April 19, 2022.

Where is Granger Medical Specialists LLC located?

Granger Medical Specialists LLC is located at 96 E Kimballs Ln Ste 304, Draper, UT 84020. The listed phone number is (801) 571-9433.

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 19, 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.