GRANGER MEDICAL CLINIC - WASATCH
NPI 1629163746
Internal Medicine in Salt Lake City, UT

Q: What is Granger Medical Clinic, Inc.'s NPI number?

The NPI number for Granger Medical Clinic, Inc. is 1629163746. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Granger Medical Clinic - Wasatch.

Q: What is Granger Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 04, 2006

1160 E 3900 S, SUITE 1000, SALT LAKE CITY, UT 84124(801) 262-1771(801) 288-9101 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Granger Medical Clinic - Wasatch NPPES

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

GRANGER MEDICAL CLINIC - WASATCH (NPI 1629163746) is a healthcare organization registered as an internal medicine in Salt Lake City, Utah and active in the NPI registry since October 2006. The organization lists Anne M Whitaker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1629163746

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameGRANGER MEDICAL CLINIC, INC.

Location Address1160 E 3900 S, SUITE 1000Salt Lake City, UT 84124-1202

Mailing Address1160 E 3900 S, Suite 1000Salt Lake City, UT 84124-1202 · (801) 262-1771 · Fax (801) 288-9101

Phone(801) 262-1771

Fax(801) 288-9101

Organization SubpartYes

Authorized OfficialAnne M WhitakerCredentialing Coordinator · (801) 965-3505

Enumeration DateOctober 4, 2006

Last NPPES UpdateAugust 16, 2016

✔ NPI 1629163746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 870526286

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1160 E 3900 S, Salt Lake City, UT 84124

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Other Names 1

Doing Business AsGranger Medical Clinic - Wasatch

Other Identifiers 3

Medicare PIN000055217UT

Medicare PIN000004880UT

Other870526286UT · Ein

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JAMES S ZEBRACK MD

Internal Medicine (Cardiovascular Disease)

1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-3418

DR. KELLY RAMSAY O'NEAL III MD, MS

Internal Medicine (Cardiovascular Disease)

1160 E 3900 S, SUITE 2000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-3418

DR. JEFFREY G RANDLE MD

Physical Medicine & Rehabilitation

1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 262-8486

KENNETH G NIELSON MD

Internal Medicine (Cardiovascular Disease)

1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-3418

DR. MINA GOHARI M.D.

Family Medicine

1160 E 3900 S, STE G200
SALT LAKE CITY, UT 84124

Salt Lake County (801) 268-7766

JAMES JOSEPH CHAMBERLAIN MD

Internal Medicine

1160 E 3900 S, SUITE 1200
SALT LAKE CITY, UT 84124

Salt Lake County (801) 261-9651

PAWAN K SHARMA MD

Nuclear Medicine (Nuclear Cardiology)

1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-3418

STEPHEN G ROPER PA

Physician Assistant

1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 262-8486

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, Inc.'s NPI number?

The NPI number for Granger Medical Clinic, Inc. is 1629163746. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Granger Medical Clinic - Wasatch.

Where is Granger Medical Clinic, Inc. located?

Granger Medical Clinic, Inc. is located at 1160 E 3900 S Suite 1000, Salt Lake City, UT 84124. The listed phone number is (801) 262-1771.

What is Granger Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Granger Medical Clinic, Inc. was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.