GRANGER MEDICAL PARK CITY (NPI# 1699050823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699050823 |
| Entity Type | Organization |
| Organization Name | GRANGER MEDICAL PARK CITY |
| Practice Address |
3181 W 9000 So West Jordan UT 84088 |
| Mailing Address |
1600 Snow Creek Dr Ste B Park City UT 84060-7372 |
| Practice Telephone | 8015695520 |
| Practice Fax Number | 8013525951 |
| Mailing Telephone | 8015695520 |
| Mailing Fax Number | 8013525951 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2013-05-13 |
| Authorized Official Name | MRS. MARY JANE PENNINGTON (PRESIDENT) |
| Authorized Official Telephone | 8019653600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GRANGER MEDICAL CLINIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3181 W 9000 SO |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891726162 | Sandeep Chowdhary | Internal Medicine | 3181 W 9000 So, West Jordan, UT 84088 | 2006-07-05 |
| 1861643330 | Craig William Davis | Pain Medicine | 3181 W 9000 So, West Jordan, UT 84088 | 2008-10-02 |
| 1104857549 | Granger Medical Clinic Inc | Clinic/Center | 3181 W 9000 So, West Jordan, UT 84088 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205187325 | Centerville Medical Center | Clinic/Center | 6783 S Redwood Rd, Suite 104, West Jordan, UT 84084-5677 | 2012-09-28 |
| 1104857549 | Granger Medical Clinic Inc | Clinic/Center | 3181 W 9000 So, West Jordan, UT 84088 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028991 | Atlas Epigenetics | Clinic/Center | 3311 N University Ave Ste 150, Provo, UT 84604-7431 | 2020-09-16 |
| 1649882069 | Vasco Healthcare Inc | Clinic/Center | 470 E 3900 S Ste 100, Salt Lake City, UT 84107-2331 | 2020-08-18 |
| 1467082644 | Treatment Network LLC | Clinic/Center | 12608 S 125 W Ste B2, Draper, UT 84020-5443 | 2020-01-16 |
| 1750928214 | Kyunghee Seo K Mental Health Clinic | Clinic/Center | 1160 S State St Ste 160a, Orem, UT 84097-8263 | 2019-12-04 |
| 1740836345 | The Lift Clinic, LLC | Clinic/Center | 345 W 100 S # 6c, Slc, UT 84101-1209 | 2019-08-11 |
| 1952953101 | Restorative Health Primary Care | Clinic/Center | 850 E 9400 S Ste 101, Sandy, UT 84094-4114 | 2019-07-09 |
| 1063986800 | Healthworks Med Group of Utah P C | Clinic/Center | 4163 S 3200 W, West Valley City, UT 84119-5128 | 2019-01-15 |
| 1235615790 | Community Birth Group | Clinic/Center | 1190 E 5425 S Ste 330, South Ogden, UT 84403-4548 | 2018-07-17 |
| 1275044075 | Edge Medical Services Inc. | Clinic/Center | 959 W Sedge Ct, Farmington, UT 84025-2541 | 2017-10-19 |
| 1992214027 | National Birth Centers, Inc | Clinic/Center | 4345 S Vallejo Dr, Holladay, UT 84124-3756 | 2017-09-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
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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.