Cascade Facial Surgery and Aesthetics

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

MD60187241 Issued in WA

Legal business name

CASCADE FACIAL SURGERY AND AESTHETICS

Practice address

1600 Continental PL Ste 103
Mount Vernon, WA 98273-5607

Phone

(360) 336-1947

NPI assigned

Nov 22, 2013

Organization subpart

No

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

Authorized official

Name

Jonathan Reagan Grant, M.D.NPI 1912064577

Title

Owner

Phone

(425) 205-1305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan R Grant, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Mount Vernon, WA
  • NPI 1912064577

  Plastic Surgery Within the Head and Neck

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1124458583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CONTINENTAL PL STE 103",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735607",
            "telephone_number": "360-336-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CONTINENTAL PL STE 103",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735607",
            "telephone_number": "360-336-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE FACIAL SURGERY AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "REAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-205-1305",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "WA",
            "license": "MD60187241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Carter
• Nichole Carubia, MA, CCC-SLP
• Jenice Joy Garcia Carvajal, MD
• Cascade Audiology and Hearing Aid Center PLLC
• Cascade Clinic Walk in and Primary Care LLC
• Cascade Imaging Associates L.L.C.
• Cascade Living Group
• Cascade Medical Group PS Inc
• Cascade Neurologic Clinic, Inc, P.S.
• Cascade Prosthetics and Orthotics, Inc.

• Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.