GRANITE PEAKS GI, LLC (NPI# 1689872897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689872897 |
| Entity Type | Organization |
| Organization Name | GRANITE PEAKS GI, LLC |
| Other Organization Name | GRANITE PEAKS GASTROENTEROLOGY |
| Practice Address |
1393 E Sego Lily Dr Sandy UT 84092-4350 |
| Practice Telephone | 8016199000 |
| Practice Fax Number | 8016199001 |
| Mailing Telephone | 8016199000 |
| Mailing Fax Number | 8016199001 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2018-12-28 |
| Authorized Official Name | DR. CHRISTOPHER S CUTLER (PHYSICIAN) |
| Authorized Official Telephone | 8016199000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2901281205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | PTAN | DR8477 | 01 |
| Other Name | Type Code |
|---|---|
| Granite Peaks Gastroenterology | Former Legal Business Name - Organization |
| Street Address |
1393 E SEGO LILY DR |
| City | SANDY |
| State | UT |
| Zip Code | 84092-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134119357 | Robert Kyle Barnett | Internal Medicine | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2005-10-27 |
| 1932728813 | Rachel Hansen | Physician Assistant | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2020-04-10 |
| 1881169043 | Scott Richard Moffitt | Internal Medicine | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2018-10-03 |
| 1417467135 | Christine Weaver | Physician Assistant | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2017-10-08 |
| 1205387008 | Granite Peaks Pathology II LLC. | Pathology | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2016-10-18 |
| 1083926331 | Sarah Mary Holland | Registered Nurse | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2010-07-01 |
| 1124277496 | Granite Peaks Pathology P.C. | Pathology | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2008-09-11 |
| 1104022557 | James Muir Stewart | Specialist | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2007-06-22 |
| 1790891430 | Steven Gregg Desautels | Internal Medicine | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2006-08-23 |
| 1437162013 | Christopher Scott Cutler | Internal Medicine | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2006-08-14 |
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| 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 |
| Find all providers in zip 84092 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134119357 | Robert Kyle Barnett | Internal Medicine | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2005-10-27 |
| 1881169043 | Scott Richard Moffitt | Internal Medicine | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2018-10-03 |
| 1972760106 | John David Schmidt | Internal Medicine | 9829 S 1300 E, Suite 300 Granite Peaks Gastroenterology, Sandy, UT 84094 | 2008-05-16 |
| 1760590277 | Sathyavathi Reddy | Internal Medicine | 9500 S 1300 E, Sandy, UT 84094-3763 | 2006-08-25 |
| 1790891430 | Steven Gregg Desautels | Internal Medicine | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2006-08-23 |
| 1437162013 | Christopher Scott Cutler | Internal Medicine | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2006-08-14 |
| 1497768014 | Andrew M Heiner | Internal Medicine | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447662523 | Utah Gastroenterology P C | Internal Medicine | 74 E Kimball Lane, Suite 230, Draper, UT 84020-7735 | 2014-05-23 |
| 1992066799 | Brien Rex Miller | Internal Medicine | 368 E Riverside Dr Ste A, St George, UT 84790-6897 | 2012-06-07 |
| 1881928794 | Tranquil Living Center Group Corp | Internal Medicine | 189 N Highway 89, Ste C-10, N Salt Lake, UT 84054-2432 | 2009-09-24 |
| 1568592590 | Ihc Health Services Inc | Internal Medicine | 374 10th Ave, Suite 100, Salt Lake City, UT 84103-2823 | 2007-03-07 |
| 1306925433 | Robert F Miller | Internal Medicine | 1002 East South Temple, Ste 412, Salt Lake City, UT 84102 | 2006-11-02 |
| 1033209622 | Randall W. Burt | Internal Medicine | Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112 | 2006-10-13 |
| 1871689562 | Utah Gastroenterology P C | Internal Medicine | 1187 E 3900 S, Salt Lake City, UT 84124-1201 | 2006-10-04 |
| 1922113380 | Robert Shigeru Kiyomura | Internal Medicine | 2084 Robins Dr, Suite B, Layton, UT 84041-1100 | 2006-08-19 |
| 1760491054 | Vikram Garg | Internal Medicine | 1300 N 500 E Ste 340, Logan, UT 84341-2470 | 2006-08-05 |
| 1972510717 | Utah Gastroenterology P C | Internal Medicine | 6360 South 3000 East, Suite 310, Salt Lake City, UT 84121 | 2006-08-02 |
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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.