Granger Medical Clinic, Inc.
NPI 1629163746ActiveOrganization· Internal Medicine· Salt Lake City, UT
Internal Medicine in Salt Lake City, Utah, registered in NPPES in October 2006, part of Granger Medical Clinic, Inc. The authorized official on file is Anne M. Whitaker, Credentialing Coordinator.
Overview
| NPI | 1629163746 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Granger Medical Clinic, Inc. |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Aug 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 870526286 | 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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