DR. JONATHAN R GRANT MD
NPI 1912064577
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Mount Vernon, WA

Q: What is Jonathan Grant's NPI number?

The NPI number for Jonathan Grant is 1912064577. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Q: What is Jonathan Grant's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Grant was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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 January 02, 2007PECOS Enrolled

111 S 13TH ST, MOUNT VERNON, WA 98274(360) 336-2178(360) 336-1674 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jonathan R Grant Md NPPES

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

DR. JONATHAN R GRANT MD (NPI 1912064577) is an individual otolaryngology/facial plastic surgery provider in Mount Vernon, Washington, licensed in Washington (MD60187241) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2003).

NPPES Registry Identity

NPI1912064577

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameDR. JONATHAN R GRANTCredential: MD

Location Address111 S 13TH STMount Vernon, WA 98274-4105

Mailing Address111 S 13th StMount Vernon, WA 98274-4105 · (360) 336-2178 · Fax (360) 336-1674

Phone(360) 336-2178

Fax(360) 336-1674

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2003

Enumeration DateJanuary 2, 2007

Last NPPES UpdateMarch 15, 2012

✔ NPI 1912064577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in WA · MD60187241

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 242010 (MA), 47898-020 (WI)

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License MD60187241 (WA)

Also ListedSurgeryTaxonomy 208600000X · License MD60187241 (WA)

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License MD60187241 (WA)

111 S 13TH ST, Mount Vernon, WA 98274

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Other Identifiers 4

Medicare PIN8895168WA

Medicaid2009841WA

Other0271141WA · Labor And Industries

OtherP00700778Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1850468752

PECOS Enrollment IDI20101118001095

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services19 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

11 services11 patients

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Other Providers at the Same Location NPPES 12

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

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