GRANGER MEDICAL CLINIC, PC (NPI# 1447609987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447609987 |
Entity Type | Organization |
Organization Name | GRANGER MEDICAL CLINIC, PC |
Other Organization Name | GRANGER MEDICAL COTTONWOOD SLEEP CENTER |
Practice Address |
5801 S Fashion Blvd Suite 140 Murray UT 84107 |
Mailing Address |
7181 S Campus View Dr West Jordan UT 84084-4312 |
Practice Telephone | 8012605864 |
Practice Fax Number | 8012605865 |
Mailing Telephone | 8019653505 |
Enumeration Date | 2016-06-06 |
Last Update Date | 2019-07-30 |
Authorized Official Name | MARY JANE PENNINGTON (PRESIDENT) |
Authorized Official Telephone | 8019653600 |
Is Organization Subpart | Y |
Parent Organization Name | GRANGER MEDICAL CLINIC, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Granger Medical Cottonwood Sleep Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093330698 | Granger Medical Clinic, PC | Non-Pharmacy Dispensing Site | 5323 S Woodrow St Ste 203, Murray, UT 84107-5851 | 2020-06-10 |
1184657041 | Granger Medical Clinic, PC | Family Medicine | 2965 W. 3500 S., West Valley City, UT 84119 | 2006-07-07 |
1649541699 | Granger Medical Clinic, PC | Pediatrics | 1288 W 12700 S, Riverton, UT 84065-6794 | 2012-01-23 |
1932216652 | Granger Medical Clinic, PC | Specialist | 1121 E 3900 S, Suite #c130, Salt Lake City, UT 84124-1214 | 2006-08-25 |
Street Address |
5801 S FASHION BLVD SUITE 140 |
City | MURRAY |
State | UT |
Zip Code | 84107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124282991 | Rachel A Bills | Speech-Language Pathologist | 5801 S Fashion Blvd, Suite 190, Murray, UT 84107-6159 | 2008-07-10 |
1386254837 | Le Ngu, Licensed Psychologist | Counselor | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2020-08-08 |
1245895002 | Laken Shirey | Counselor | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2019-05-07 |
1245773399 | Surgery Center Anesthesia, LLC | Anesthesiology | 5801 S Fashion Blvd, Suite 190, Murray, UT 84107-6159 | 2016-11-21 |
1114386620 | Jacob Jackson | Chiropractor | 5801 S Fashion Blvd, Suite 210, Murray, UT 84107-6159 | 2016-02-12 |
1619347135 | Utah Spine Institute | Clinic/Center | 5801 S Fashion Blvd, Suite 180, Murray, UT 84107-6159 | 2015-09-26 |
1215312640 | Desiree S Hammer | Physician Assistant | 5801 S Fashion Blvd, Ste 180, Murray, UT 84107-6159 | 2015-07-27 |
1306181268 | Canada Chiropractic A Professional Corporation | Point of Service | 5801 S Fashion Blvd, Suite 175, Murray, UT 84107-6159 | 2012-12-04 |
1255680559 | Murray Surgical | Clinic/Center | 5801 S Fashion Blvd, #190, Murray, UT 84107-6159 | 2012-08-31 |
1942560479 | Joshua J Minori | Physical Medicine & Rehabilitation | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2012-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 207RS0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sleep Medicine |
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154883668 | Physician Group of Utah Inc | Internal Medicine | 5979 S 300 E, Murray, UT 84107-7364 | 2019-04-03 |
1760713523 | Heart and Lung Institute of Utah Inc | Internal Medicine | 5979 So. Fashion Blvd, Murray, UT 84107-7364 | 2010-01-19 |
1487932927 | Ihc Health Services Inc | Internal Medicine | 5121 Cottonwood St, Murray, UT 84107-5701 | 2011-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962490128 | Brydon J.b. Grant | Internal Medicine | 10712 S 1300 E, Sandy, UT 84094-5094 | 2005-10-12 |
1790291243 | Ihc Health Services Inc | Internal Medicine | 201 W Layton Pkwy, Layton, UT 84041 | 2017-12-20 |
1689049595 | Granger Medical West Jordan Sleep Center | Internal Medicine | 3181 W 9000 S, West Jordan, UT 84088 | 2015-12-03 |
1285043596 | Granger Medical Sleep Clinic | Internal Medicine | 3181 W 9000 S, West Jordan, UT 84088-5610 | 2014-08-12 |
1447669262 | Ihc Health Services Inc | Internal Medicine | 4403 Harrison Blvd, Ste 2600, Ogden, UT 84403-3277 | 2014-08-06 |
1225319411 | Ihc Health Services Inc | Internal Medicine | 652 S Medical Center Dr, Suite 310, St George, UT 84790-7017 | 2011-09-01 |
1194003640 | Ihc Health Services Inc | Internal Medicine | 3723 W 12600 S, Ste 480, Riverton, UT 84065-7295 | 2011-08-02 |
1659659191 | Ihc Health Services Inc | Internal Medicine | 9660 S 1300 E, Sandy, UT 84094-3762 | 2011-08-02 |
1265727275 | Ihc Health Services Inc | Internal Medicine | 325 8th Ave, Salt Lake City, UT 84143-0001 | 2011-06-17 |
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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.