Active NPI
Joshua Grant, D.O.
- Cardiovascular Disease Physician
- Vancouver, WA
National Provider Identifier
1598051252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- OP60859930
- Practice address
- 200 NE Mother Joseph PL Ste 400
Vancouver, WA 98664-3290 - Phone
- (360) 514-4444
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT014097 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | OP60859930 | WA | Primary |
Addresses
Primary practice location
200 NE Mother Joseph PL Ste 400
Vancouver, WA 98664-3290
Mailing address
230 N Broad St
Philadelphia, PA 19102-1121
Phone (215) 762-7000
Other practice location 1
230 N Broad St
Philadelphia, PA 19102-1121
Phone (215) 762-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181029002601 | WA | Practitioner - Cardiovascular Disease (Cardiology) | 8325261621 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Peacehealth
Practice addresses (Care Compare)
200 NE Mother Joseph PL
Suite 400
Vancouver, WA 98664-3290
Phone (360) 256-2640
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
- Klickitat Valley Hospital
- Legacy Salmon Creek Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT014097 | PA | MD | Internal Medicine Physician |
| OP60859930 | WA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients |
Locations
200 NE Mother Joseph Pl
Ste 400
Vancouver, WA 98664
Phone (360) 256-2640
2312 NE 129th St
Vancouver, WA 98686
Phone (360) 546-8950
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
Interoperability endpoints
- jgrant391171@direct.peacehealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
-
- Rehabilitation Hospital Unit
- Vancouver, WA
- NPI 1548734205
-
- Inpatient Hospice
- Vancouver, WA
- NPI 1558015057
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Goldendale, WA
- NPI 1386689487
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1598051252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021121",
"telephone_number": "215-762-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 400",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643290",
"telephone_number": "360-514-4444"
}
],
"practiceLocations": [
{
"address_1": "230 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021121",
"country_code": "US",
"telephone_number": "215-762-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "JOSHUA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT014097",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "OP60859930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.