NPIMap

Organization Active NPI

Granger Medical Clinic, PC

  • Non-Pharmacy Dispensing Site
  • Murray, UT
National Provider Identifier
1093330698
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
GRANGER MEDICAL CLINIC, PC
Practice address
348 E 4500 S
Murray, UT 84107-3906
Phone
(801) 965-3600
NPI assigned
Jun 10, 2020
Organization subpart
Yes
Parent organization
GRANGER MEDICAL CLINIC, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anne Whitaker
Title
Credentialing Coordinator
Phone
(801) 965-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

348 E 4500 S
Murray, UT 84107-3906

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600

Other practice location 1

5323 S Woodrow St Ste 203
Murray, UT 84107-5851
Phone (801) 266-8664

Other names 1

  • Summit Urology Advanced Prostate Cancer Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David W McCray M D7 organizations share this tax ID, including this one
Part of
David W McCray M D

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1093330698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193602",
            "telephone_number": "801-965-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073906",
            "telephone_number": "801-965-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 S Woodrow St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841075851",
            "country_code": "US",
            "telephone_number": "801-266-8664",
            "fax_number": "801-264-9031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRANGER MEDICAL CLINIC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANGER MEDICAL CLINIC, PC",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "801-965-3505"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Urology Advanced Prostate Cancer Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Urology Advanced Prostate Cancer Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.