{"npi":"1376159368","type":"NPI-2","status":"active","name":{"display":"Granger Medical Specialists LLC","other":[],"organization_name":"GRANGER MEDICAL SPECIALISTS LLC","authorised_official":"Mary Jane Pennington"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2965 W 3500 S","city":"WEST VALLEY CITY","state":"UT","postal_code":"841193602","country_code":"US","phone":"8019653600"},{"purpose":"MAILING","street_1":"7181 S CAMPUS VIEW DR STE 200","city":"WEST JORDAN","state":"UT","postal_code":"840844312","country_code":"US","phone":"8019653600"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20201105002207","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"UT","pac_id":"4587074356"},{"enrlmt_id":"O20220221000924","type_code":"30-70","type_desc":"DME SUPPLIER - MULTI-SPECIALTY - PHYSICIAN","state":"UT","pac_id":"4587074356"}]},"enumeration_date":"2020-09-16","last_updated":"2020-09-16","_meta":{"source":"NPPES","snapshot_date":"2020-09-16","doc_url":"https://findmynpi.com/api"}}