Jeffrey S. Grant, M.D., P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

99-216 Issued in NM

Legal business name

JEFFREY S. GRANT, M.D., P.C.

Practice address

608 E Comanche St
Farmington, NM 87401-6815

Phone

(505) 325-0072

Fax

(505) 327-1739

NPI assigned

Oct 11, 2006

Last updated

May 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey S Grant, M.D.NPI 1669500096

Title

Ceo

Phone

(505) 325-0072

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey S Grant, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Farmington, NM
  • NPI 1669500096
  Medicare reassignment NPD Authorized official
• Rebecca Anne Herpick, DOM

  • Acupuncturist
  • Farmington, NM
  • NPI 1588974455
  NPD (past)
• Dee Ann Sands, LPCC, NCC, CADS

  • Mental Health Counselor
  • Farmington, NM
  • NPI 1114097417
  NPD (past)
• Jeanette Troxell, R.N.

  • Registered Nurse
  • Farmington, NM
  • NPI 1740441195
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1083702203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874990677",
            "telephone_number": "505-325-0072",
            "fax_number": "505-327-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E COMANCHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016815",
            "telephone_number": "505-325-0072",
            "fax_number": "505-327-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. GRANT, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-325-0072",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "99-216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A5179",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Jasper-Petrozzino
• Rebecca G Jasper, MSW ACSW LISW
• Araceli Jauregui Aguilera, FNP
• Jean Manz Coaching, LLC
• Amirah Jefferson
• Adam Jensen, PA
• Leighanne Jensen, RN
• Maria Celina Jensen, M.D.
• Amanda Jernigan, CRNA
• Corinna A Jim

• Physical Medicine & Rehabilitation Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Physical Medicine & Rehabilitation Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.