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GRANGER MEDICAL CLINIC - PARKWAY
NPI 1649541699
Family Medicine in Riverton, UT

Active since January 23, 2012
1288 W 12700 S, RIVERTON, UT 84065(801) 253-3500(801) 253-5859 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Granger Medical Clinic - Parkway NPPES

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

GRANGER MEDICAL CLINIC - PARKWAY (NPI 1649541699) is a healthcare organization registered as a family medicine in Riverton, Utah and active in the NPI registry since January 2012. The organization lists Anne Whitaker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1649541699
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRANGER MEDICAL CLINIC, PC
Location Address1288 W 12700 SRiverton, UT 84065-6794
Mailing Address3725 W 4100 SWest Valley City, UT 84120-5530 · (801) 965-3505
Phone(801) 253-3500
Fax(801) 253-5859
Organization SubpartYes
Authorized OfficialAnne WhitakerCredentialing Coordinator · (801) 965-3505
Enumeration DateJanuary 23, 2012
Last NPPES UpdateMarch 2, 2015
✔ NPI 1649541699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPediatricsTaxonomy 208000000X
1288 W 12700 S, Riverton, UT 84065
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Other Names 1

Doing Business AsGranger Medical Clinic - Parkway

Other Identifiers 1

Medicare UPINE30736UT

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

Other Providers at the Same Location NPPES 3

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

DENISE MORITA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1288 W 12700 S
RIVERTON, UT 84065
Salt Lake County (801) 965-3600
JIMMY LYNN RYAN M.D.
Pediatrics
1288 W 12700 S
RIVERTON, UT 84065
Salt Lake County (801) 253-3500
ROBERT D. WILLIAMS, M.D., P.C.
Family Medicine
1288 W 12700 S
RIVERTON, UT 84065
Salt Lake County (801) 253-0291

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 1649541699. It was assigned to this organization in the NPPES registry on January 23, 2012. The provider is doing business as Granger Medical Clinic - Parkway.

Where is Granger Medical Clinic, PC located?

Granger Medical Clinic, PC is located at 1288 W 12700 S, Riverton, UT 84065. The listed phone number is (801) 253-3500.

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 March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.