Mary Jane Pennington, MD
Pediatrics Physician · West Valley City, UT
Mary Jane Pennington, MD is a pediatrics physician with a practice address in West Valley City, Utah, and NPI 1205868452, issued on Jul 7, 2006. Check the license (Utah 1750881205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Mary Jane Pennington
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 1750881205 UT
Self-reported in NPPES; status is on the state search - Practice location
- 2965 W 3500 S, West Valley City, UT 84119
- Phone
- (801) 965-3600
- Enumerated
- Jul 7, 2006
- Record last updated
- Oct 3, 2024
- Medicare enrollment
- Enrolled (PECOS I20061207000281); accepts Medicare assignment
- Medical or professional school
- Washington University School Of Medicine, 1985
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 670 in Utah → Look up another NPI →
Also registered at 2965 W 3500 S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Melissa Armknecht, PA-CMedical Physician Assistant1689442063
- Kira Barondeau, PA-CMedical Physician Assistant1215604012
- Wayne Berg, FNPNurse Practitioner1851813299
- Chelet Bleyl, PA-CPhysician Assistant1821720046
- Staci Brandenburg, PA-CMedical Physician Assistant1487279626
- Craig Brasher, MDPediatrics Physician1760410666
Verify Mary Jane Pennington in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 1750881205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Granger Medical Clinic PCRiverton, UT
- Granger Medical Specialists LLCWest Valley City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary Jane Pennington among 670 pediatrics physician records in Utah
Mary Jane Pennington, MD is one of 670 pediatrics physician records with a practice address in Utah. 37% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 58% newer
- In a Medicare fileYes · 37% of these records are
- In the CMS Doctors and Clinicians fileYes · 9% of these records are
- Graduated1985 · median 2009 among the 57 with a school on file
- Record last updated2024 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 pediatrics physician records list a practice address in West Valley City
They are 13 of the 773 NPPES records with a practice address in West Valley City, and 670 pediatrics physician records in Utah.
All 670 in Utah → Every provider in West Valley City → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Craig Brasher, MDWest Valley City, UT 841191760410666
- Alyson Eyre, MDWest Valley City, UT 841191508897927
- Ryan Frome, D.O.West Valley City, UT 841191366947780
- Miosotis Harrison, MDWest Valley City, UT 841191174213060
- Trinh Outtrim, MDSalt Lake City, UT 841191720011349
- Ryan Turner, DOWest Valley City, UT 841191538435359
- Alexandra Twitchell, MDWest Valley City, UT 841191932738887
- Wendy Cotting, MDTaylorsville, UT 841181750585485
Common questions
What is Mary Jane Pennington, MD's NPI number?
Mary Jane Pennington, MD's National Provider Identifier (NPI) is 1205868452, issued on Jul 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mary Jane Pennington, MD located?
The NPPES record lists a practice address at 2965 W 3500 S, West Valley City, UT, 84119. Phone: (801) 965-3600. Providers update this record themselves, so call before visiting.
How can I verify Mary Jane Pennington, MD's license?
NPPES lists Utah license number 1750881205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.