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

Dr. Sean Jay Henderson, DO, FACOS

Individual provider Urology Physician · NPI 1366753709

Dr. Sean Jay Henderson, DO, FACOS is an Urology in American Fork, Utah. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2010, 16 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group and accepts Medicare assignment. Licensed in Ohio and Utah.

Years since qualifying
16
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
OH, UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1159 E 200 N Ste 300
American Fork, UT 84003-2037
Phone: (801) 965-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 9683273-1204 (UT)
Urology Physician Taxonomy 208800000X · Licence 34.011766 (OH)

Record details

NPI number1366753709
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , FACOS
Sole proprietorYes
NPI enumeratedJune 30, 2010
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
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 specialtyUROLOGY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2010 (16 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in American Fork