Active NPI
Peter a Grant MD PC
- Physical Medicine & Rehabilitation Physician
- Medford, OR
National Provider Identifier
1386658672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD14454
- Legal business name
- PETER A GRANT MD PC
- Practice address
- 473 Murphy Road
Medford, OR 97504 - Phone
- (541) 772-3200
- Fax
- (541) 772-1048
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Alan Grant, MD
- Title
- President
- Phone
- (541) 772-3200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD14454 | OR | Primary |
Addresses
Primary practice location
473 Murphy Road
Medford, OR 97504
Mailing address
473 Murphy Road
Medford, OR 97504
Phone (541) 772-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124271 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1100 NE 7th St
Ste A
Grants Pass, OR 97526
Phone (541) 772-3200
473 Murphy Rd
Medford, OR 97504
Phone (541) 772-3200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Medford, OR
- NPI 1992862296
-
- Physical Medicine & Rehabilitation Physician
- Medford, OR
- NPI 1104321454
-
- Physical Medicine & Rehabilitation Physician
- Medford, OR
- NPI 1538518600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386658672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 MURPHY ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-772-3200",
"fax_number": "541-772-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 MURPHY ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-772-3200",
"fax_number": "541-772-1048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER A GRANT MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-772-3200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "OR",
"license": "MD14454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124271",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.