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GRANGER MEDICAL DRAPER
NPI 1174968051
Family Medicine in Draper, UT

Active since May 06, 2013
11724 SOUTH STATE ST., DRAPER, UT 84020(801) 965-3600(801) 965-3740 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Granger Medical Draper NPPES

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

GRANGER MEDICAL DRAPER (NPI 1174968051) is a healthcare organization registered as a family medicine in Draper, Utah and active in the NPI registry since May 2013. The organization lists Mary Jane Pennington, President, as its authorized official.

NPPES Registry Identity

NPI1174968051
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRANGER MEDICAL CLINIC PC
Location Address11724 SOUTH STATE ST.Draper, UT 84020
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Phone(801) 965-3600
Fax(801) 965-3740
Organization SubpartYes
Authorized OfficialMary Jane PenningtonPresident · (801) 965-3600
Enumeration DateMay 6, 2013
Last NPPES UpdateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1174968051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
11724 SOUTH STATE ST., Draper, UT 84020
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Other Names 1

Other NameGranger Medical Draper

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Clinic PC's NPI number?

The NPI number for Granger Medical Clinic PC is 1174968051. It was assigned to this organization in the NPPES registry on May 6, 2013. The provider is also known as Granger Medical Draper.

Where is Granger Medical Clinic PC located?

Granger Medical Clinic PC is located at 11724 South State St., Draper, UT 84020. The listed phone number is (801) 965-3600.

What is Granger Medical Clinic PC'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 Granger Medical Clinic PC was last updated on December 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.