Granite Peaks Endoscopy Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GRANITE PEAKS ENDOSCOPY SURGICENTER LLC

Practice address

10150 S Petunia Way Ste B
Sandy, UT 84092-4328

Phone

(801) 619-1115

NPI assigned

Jul 10, 2026

Organization subpart

No

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

Authorized official

Name

David McKnight

Title

VP/Cfo

Phone

(972) 789-2816

Specialties & licenses 1

Addresses

Other names 1

• Granite Peaks Endoscopy Center Doing business as

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1720907223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 S PETUNIA WAY STE B",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924328",
            "telephone_number": "801-619-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 S PETUNIA WAY STE B",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924328",
            "telephone_number": "801-619-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE PEAKS ENDOSCOPY SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Peaks Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy E Graham, MD
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• Granger Medical Specialists LLC
• Granite Peaks Endoscopy,LLC
• Granite Peaks Gi, LLC
• Granite Peaks Pathology II LLC.
• Granite Peaks Pathology P.C.
• Granite Peaks Surgicenter, LLC

• Ambulatory Surgical Clinic/Center in Sandy, UT
• Providers in Sandy, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.