Granger Medical Specialists LLC
NPI 1376159368ActiveOrganization· Clinic/Center· West Valley City, UT
Clinic/Center in West Valley City, Utah, registered in NPPES in September 2020. The authorized official on file is Mary Jane Pennington, MD, President/Ceo. Enrolled in Medicare as dme supplier - multi-specialty - physician and part b supplier - clinic/group practice.
Overview
| NPI | 1376159368 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2020 |
| Last updated in NPPES | Sep 16, 2020 |
| Certified by provider | Sep 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
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) | Enrolled DME Supplier - Multi-Specialty - Physician (UT); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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