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GRANGER MEDICAL SPECIALISTS LLC
NPI 1437890118
Clinic/Center - Multi-Specialty in Draper, UT

Active since April 05, 2022
11724 S STATE ST, DRAPER, UT 84020(801) 576-2000 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 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 1437890118) 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

NPI1437890118
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGRANGER MEDICAL SPECIALISTS LLC
Location Address11724 S STATE STDraper, UT 84020-7163
Mailing Address7181 S Campus View Dr Ste 200West Jordan, UT 84084-4312 · (801) 965-3505
Phone(801) 576-2000
Organization SubpartYes
Authorized OfficialMary Jane PenningtonPresident/ceo · (801) 965-3600
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1437890118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
11724 S STATE ST, Draper, UT 84020
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Other Providers at the Same Location NPPES 12

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

MEGAN FURBER PA-C
Physician Assistant (Surgical)
11724 S STATE ST
DRAPER, UT 84020
Salt Lake County (801) 576-2000
MELANIE RIEDERER FNP-C
Nurse Practitioner
11724 S STATE ST
DRAPER, UT 84020
Salt Lake County (801) 965-3600
DR. ROBERT D WILLIAMS MD
Family Medicine
11724 S STATE ST
DRAPER, UT 84020
Salt Lake County (801) 965-3600
KIMBALL TYSON BAILEY DO
Internal Medicine
11724 S STATE ST
DRAPER, UT 84020
Salt Lake County (801) 965-3600
PINKY KOTWAL MD
Internal Medicine
11724 S STATE ST
DRAPER, UT 84020
Salt Lake County (801) 965-3600
LEHAI LILY AUSTIN WHNP
Nurse Practitioner (Women's Health)
11724 S STATE ST
DRAPER, UT 84020
Salt Lake County (801) 576-2050
CHRISTINA LYNN THUET M.D.
Pediatrics
11724 S STATE ST
DRAPER, UT 84020
Salt Lake County (801) 576-2000
DR. JONATHAN ASHTON OLSEN D.O.
Allergy & Immunology
11724 S STATE ST
DRAPER, UT 84020
Salt Lake County (801) 576-2000

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 1437890118. 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 11724 S State St, Draper, UT 84020. The listed phone number is (801) 576-2000.

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 with the weekly NPPES data releases published by CMS.