Edward M. Grant, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2001PA42 Issued in NM

Practice address

401 Botulph LN
Santa Fe, NM 87505-6912

Phone

(505) 983-8387

Fax

(505) 820-2733

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Alamos Medical Center Hospital, Los Alamos, NM, CCN 320033

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cochiti Health Clinic

  • General Acute Care Hospital
  • Cochiti Pueblo, NM
  • NPI 1093814691
  NPD (past)
• Corazon Family Health PC

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1295847747
  NPD (past)
• San Felipe Health Clinic

  • General Acute Care Hospital
  • San Felipe, NM
  • NPI 1831274851
  NPD (past)
• Santa Clara Health Center

  • General Acute Care Hospital
  • Espanola, NM
  • NPI 1043396377
  NPD (past)
• Santa Fe Medical Group, LLC

  • Primary Care Clinic/Center
  • Santa Fe, NM
  • NPI 1851401103
  NPD (past)
• Santo Domingo Health Clinic

  • General Acute Care Hospital
  • Santo Domingo Pueblo, NM
  • NPI 1376632695
  NPD (past)
• Truecare LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1407227002
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PHC-Los Alamos Inc

  dba Los Alamos Medical Center

  • Rural Acute Care Hospital
  • Los Alamos, NM
  • NPI 1285701623
  Care Compare affiliation

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417031980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOTULPH LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056912",
            "telephone_number": "505-983-8387",
            "fax_number": "505-820-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOTULPH LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056912",
            "telephone_number": "505-983-8387",
            "fax_number": "505-820-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "EDWARD",
        "middle_name": "M.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "2001PA42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Erin Graham
• Kathryn Graham
• Crystal Granillo
• Michaela Granito-Tibbetts, LMSW
• Andrea Grano, CPNP-PC
• Elizabeth A Grant
• Marcelle Grant
• Sabrina Grant
• Eric L Grasser, M.D.
• Grasshopper Natural Medicine (Mountain Spirit Integrative Medicine)

• Physician Assistant in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.