Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Joseph Nicholson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497188197

Alexander Joseph Nicholson, MD is an Allergy/Immunology in West Jordan, Utah. Graduated from Oregon Health Sciences University School of Medicine in 2017, 9 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
AZ
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 W 9000 S
West Jordan, UT 84088-5610
Phone: (801) 965-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4140 E Baseline Rd Ste 112, Mesa, AZ 85206-4413 — (602) 734-0252

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 66165 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R77212 (AZ)

Record details

NPI number1497188197
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2013
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address2965 W 3500 S, West Valley City, UT 84119-3602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Jordan