Ian R Cavin
GRANGER MEDICAL CLINIC INC


Address: 4252 S Highland Dr, Suite 200, Salt Lake City, UT 84124-2690
Phone: 8019931800

Ian R Cavin (NPI# 1184647315, PAC ID# 9234160318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1184647315
PAC ID by PECOS 9234160318
Professional Enrollment ID I20070906000006
Full Name Ian R Cavin
Organization Legal Name GRANGER MEDICAL CLINIC INC
Address 4252 S Highland Dr
Suite 200
Salt Lake City
UT 84124-2690
Phone Number 8019931800
Gender M
Credential DO
Graduation Year 2002
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 3476465691
Number of Group Practice Members 159
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460060 LONE PEAK HOSPITAL
460044 ALTA VIEW HOSPITAL
460047 ST MARK'S HOSPITAL

Other Locations

Address Phone Organization
4252 S Highland Dr, Suite 200, Salt Lake City, UT 84124-2690 8019931800 GRANGER MEDICAL CLINIC INC

Organization Information

Organization Legal Name GRANGER MEDICAL CLINIC INC
Physicians 158

Physicians with the same organization

Name Specialty Organization Address
Javier Eduardo Chavez Obstetrics/gynecology Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Ginette I Speed Nurse Practitioner Granger Medical Clinic Inc 181 E 5600, Suite 130, Murray, UT 84107-6127
Casey J Henich Family Medicine Granger Medical Clinic Inc 3725 W 4100, West Valley City, UT 84120-5530
Jared H Mathis Physician Assistant Granger Medical Clinic Inc 2326 N 400 E, C203, Tooele, UT 84074-3408
David George Dienhart Internal Medicine Granger Medical Clinic Inc 71 E 1280, Tooele, UT 84074-8120
Melisa S Steele Nurse Practitioner Granger Medical Clinic Inc 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200
Robert D Williams Family Medicine Granger Medical Clinic Inc 1288 W 12700, Riverton, UT 84065-6794
Stephen B Devenport Family Medicine Granger Medical Clinic Inc 12391 S 4000, Riverton, UT 84096-7012
Edwin R England Obstetrics/gynecology Granger Medical Clinic Inc 11724 S State St, Draper, UT 84020-7163
Gary Blake Johnson Urology Granger Medical Clinic Inc 1060 E 100, Suite 110, Salt Lake City, UT 84102-1591

Office Location

Street Address 4252 S HIGHLAND DR
SUITE 200
City SALT LAKE CITY
State UT
Zip 84124-2690

Physicians in the same location

Name Specialty Organization Address
Charles R Davis General Surgery Granger Medical Clinic Inc 4252 S Highland Dr, Suite 200, Salt Lake City, UT 84124-2690
Steven N Gange Urology Granger Medical Clinic Inc 4252 S Highland Dr, Suite 200, Salt Lake City, UT 84124-2690

Physicians in the same zip code

Name Specialty Organization Address
Melisa S Steele Nurse Practitioner Granger Medical Clinic Inc 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200
Jan B Bernhisel-broadbent Allergy/immunology Granger Medical Clinic Inc 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200
Nathan Grant Adams Maxillofacial Surgery Oral and Facial Reconstructive Surgeons of Utah LLC 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213
Michael A Gladwell Maxillofacial Surgery Oral and Facial Reconstructive Surgeons of Utah LLC 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213
Sarah Elaine Kaihau Nurse Practitioner Valley Mental Health Incorporated 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215
Timothy Champlin Clinical Social Worker Valley Mental Health Incorporated 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215
Mina Gohari Family Medicine St Marks Physician Billing LLC 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224
Cynthia J Lawlor Family Medicine St Marks Physician Billing LLC 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224
Rebecca H Moore Nephrology St Marks Physician Billing LLC 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224
Danesh Rahimi Internal Medicine St Marks Physician Billing LLC 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224
Find all physicians in zip 84124

Competitor

Search similar physicians

City SALT LAKE CITY
Zip Code 84124
Specialty GENERAL SURGERY
City + Specialty SALT LAKE CITY + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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