Granger Medical Clinic PC
NPI 1356425672ActiveOrganization· Specialist· Salt Lake City, UT
Specialist in Salt Lake City, Utah, registered in NPPES in October 2006. The authorized official on file is Mary Jane Pennington, M.D., Board Member.
Overview
| NPI | 1356425672 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2006 |
| Last updated in NPPES | Dec 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 164813-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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