ETHAN GRANT MD
NPI 1578118618
Student in an Organized Health Care Education/Training Program in Dayton, OH

Q: What is Ethan Grant's NPI number?

The NPI number for Ethan Grant is 1578118618. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Q: What is Ethan Grant's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Grant was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 06, 2019PECOS Enrolled

2261 PHILADELPHIA DR STE 300, DAYTON, OH 45406(937) 734-4141 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 6, 2025, Jun 17, 2021, Aug 6, 2019 (3 updates tracked since 2019).

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About Ethan Grant Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN GRANT MD (NPI 1578118618) is an individual student in an organized health care education/training program in Dayton, Ohio, licensed in Ohio (57.259284) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1578118618

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameETHAN GRANTCredential: MD

Location Address2261 PHILADELPHIA DR STE 300Dayton, OH 45406-1814

Mailing Address2261 Philadelphia Dr Ste 300Dayton, OH 45406-1814 · (937) 734-4141

Phone(937) 734-4141

Sole ProprietorNo

Enumeration DateAugust 6, 2019

Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1578118618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OH · 57.259284

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License PT016847 (OH)

2261 PHILADELPHIA DR STE 300, Dayton, OH 45406

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Secondary Practice Location 1

Location 15193 W Broad St Ste 100Columbus, OH 43228-1695 · Phone (614) 897-0823

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Grant Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERNIE M BATEY MD

Student in an Organized Health Care Education/Training Program