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
Provider Name :Mary Jane Pennington
Credential :MD
Gender :Female
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
Phone Number :801-965-3600
Fax Number :801-965-3526
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
NPI Entity Type : Individual
First Enrolment Date : 07 Jul, 2006
Last Updated On : 13 May, 2013
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
Medicare Enrollment ID :I20061207000281
Primary Specialty :Pediatric Medicine
Medical School :Washington University School Of Medicine
Graduation Year :1985
Accepts Medicare?Yes. Mary Jane Pennington accepts medicare insurance.
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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Granger Medical Clinic Pc3476465691847181 S Campus View Dr
West Jordan, UT - 840844312
Ph: 8019653505
Yes
Granger Medical Clinic Pc34764656918412391 S 4000
Riverton, UT - 840967012
Ph: 8013021700
Yes
Granger Medical Clinic Pc347646569184348 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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes1750881205UT
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
Phone Number :801-965-3600
Fax Number :801-965-3526
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.