Granger Medical Draper – Family Medicine Physician, NPI 1174968051

Granger Medical Draper is a healthcare provider. based in Draper, Utah. specializing in Family Medicine Physician. The NPI Number for Granger Medical Draper is 1174968051

Main info

Organization
Name
Granger Medical Draper
NPI
1174968051
Phone
(801) 965-3600
Address
11724 SOUTH STATE ST.
Authorized Official
MARY JANE PENNINGTON PRESIDENT
Enumeration Date
6 May 2013
Last Update Date
13 December 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Granger Medical Draper

  • 11724 SOUTH STATE ST.

    DRAPER, UT 84020

    Phone: (801) 965-3600

    Fax: (801) 965-3740

    Type: Mailing

  • 2965 W 3500 S

    WEST VALLEY CITY, UT 841193602

    Phone: (801) 965-3600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84020)

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Reviews

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Frequently asked questions

Does Granger Medical Draper share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Granger Medical Draper uses 1174968051.
Does the file indicate Granger Medical Draper is practicing under active NPI?
Directory data currently reports Granger Medical Draper as active.
What healthcare role does Granger Medical Draper hold?
Scheduling teams often label Granger Medical Draper under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Granger Medical Draper on a map?
Expect Draper, Utah as a primary anchor for Granger Medical Draper unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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