Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jack Richard Saunders, MPAS, PA-C

Individual provider Physician Assistant · NPI 1801175807

Mr. Jack Richard Saunders, MPAS, PA-C is a Physician Assistant in West Jordan, Utah. Qualified in 2011, 15 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9001 S 3200 W
West Jordan, UT 84088-9621
Phone: (801) 965-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8069849-1206 (UT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1801175807
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedAugust 8, 2011
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 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