GRANITE PEAKS ENDOSCOPY,LLC


Address: 10150 South Petunia Way, Sandy, UT 84092-4380
Phone: 8013144222

GRANITE PEAKS ENDOSCOPY,LLC (NPI# 1083758320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083758320
Entity Type Organization
Organization Name GRANITE PEAKS ENDOSCOPY,LLC
Practice Address 10150 South Petunia Way
Sandy
UT 84092-4380
Mailing Address 5770 S 250 E
Ste 445
Murray
UT 84107-8100
Practice Telephone 8013144222
Practice Fax Number 8013144253
Mailing Telephone 8013144222
Mailing Fax Number 8013144253
Enumeration Date 2007-02-19
Last Update Date 2020-08-22
Authorized Official Name ANDREW HEINER (MEDICAL DIRECTOR)
Authorized Official Telephone 8013144222
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 10150 SOUTH PETUNIA WAY
City SANDY
State UT
Zip Code 84092-4380

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922580687 Michael L Wolf Registered Nurse 9915 S 2240 E, Sandy, UT 84092 2018-08-29
1780193763 Marcia Marie Mitchell Internal Medicine 4 Longwood Lane, Sandy, UT 84092 2017-09-22
1154737427 Sandy Shores Pediatric Dentistry Dentist 1434 E. 9400 S. #205, Sandy, UT 84092 2014-07-08
1629349915 David Adams Counselor 10306 South 2375 East, Alta, UT 84092 2012-01-19
1043511587 Edward Chipman Spencer Orthopaedic Surgery 3260 East 9425 South, Sandy, UT 84092 2010-11-16
1669785440 David Jonathan Wilde Counselor 10038 S Countrywood Dr, Sandy, UT 84092 2010-07-21
1396057592 Joshua Taylor Silva Preventive Medicine 2878 E Wasatch Blvd, Sandy, UT 84092 2010-07-06
1467619809 Deborah J. Dean Clinical Nurse Specialist 9768 Eastdell Dr, Sandy, UT 84092 2008-05-22
1780781682 Michael Ryan Adams Family Medicine 7998 South 1300 East, Sandy, UT 84092 2006-09-20
1194853390 William S Hoge Pharmacist 9500 E Little Cottonwood Cny Rd, Snowbird, UT 84092-0000 2007-03-01
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1891347597 Utah Intermountain Surgical Center LLC Clinic/Center 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 2019-07-12
1326512070 Richfield Surgery Center, LLC Clinic/Center 860 N Main St Ste A, Richfield, UT 84701-1840 2019-01-16
1104301613 Logan Surgical Suites LLC Clinic/Center 55 East Golf Course Road, Logan, UT 84321-0001 2018-10-01
1225510159 Southwest Surgery Center LLC Clinic/Center 161 W 200 N Ste 105, Saint George, UT 84770-7386 2018-09-06
1548754427 Union Park Surgical Center LLC Clinic/Center 7001 S 900 E Ste 100, Midvale, UT 84047-1700 2018-06-14
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Competitor

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City SANDY
Zip Code 84092

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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