Mary Jane Pennington
MD | Pediatrics | Female
Mary Jane Pennington, MD is a West Valley City, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mary Jane Pennington is
3725 W 4100 South, West Valley City, Utah - 84120. She can be contacted on phone at
801-965-3600 and fax number 801-965-3526.
Mary Jane Pennington is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary Jane Pennington is
1205868452 which was assigned by NPPES on 07 Jul, 2006 and it was last updated on 13 May, 2013.
Mary Jane Pennington license number is
1750881205 for Pediatrics (208000000X) in Utah.
Mary Jane Pennington is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Jane Pennington basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary Jane Pennington |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mary Jane Pennington address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3725 W 4100 South
West Valley City, UT, 84120
United States |
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| Phone Number : | 801-965-3600 |
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| Fax Number : | 801-965-3526 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1205868452 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2006 |
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| Last Updated On : | 13 May, 2013 |
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Medicare Participation:
Mary Jane Pennington participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4486566619 |
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| Medicare Enrollment ID : | I20061207000281 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Washington University School Of Medicine |
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| Graduation Year : | 1985 |
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| Accepts Medicare? | Yes. Mary Jane Pennington accepts medicare insurance. |
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Group Practice Association:
Mary Jane Pennington is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mary Jane Pennington is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Granger Medical Clinic Pc | 3476465691 | 84 | 7181 S Campus View Dr
West Jordan, UT - 840844312
Ph: 8019653505 | Yes |
| Granger Medical Clinic Pc | 3476465691 | 84 | 12391 S 4000
Riverton, UT - 840967012
Ph: 8013021700 | Yes |
| Granger Medical Clinic Pc | 3476465691 | 84 | 348 E 4500
Suite 200
Salt Lake City, UT - 841078509
Ph: 8012629800 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Jane Pennington are as mentioned. Primary taxonomy code for Mary Jane Pennington, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 1750881205 | UT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3725 W 4100 South
West Valley City, UT, 84120
United States |
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| Phone Number : | 801-965-3600 |
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| Fax Number : | 801-965-3526 |
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Business Location:
Patients can refer following map for directions to
Mary Jane Pennington practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.