Jonathan Ezra Grim, MD, PHD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD00040300 Issued in WA

Practice address

1660 S Columbian Way
VA Puget Sound Health Care System (S-111-Onc)
Seattle, WA 98108-1532

Phone

(206) 667-7994

Fax

(206) 667-5255

NPI assigned

Oct 11, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659460574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "address_2": "VA PUGET SOUND HEALTH CARE SYSTEM (S-111-ONC)",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-667-7994",
            "fax_number": "206-667-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "address_2": "VA PUGET SOUND HEALTH CARE SYSTEM (S-111-ONC)",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-667-7994",
            "fax_number": "206-667-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "JONATHAN",
        "middle_name": "EZRA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD00040300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Ellen Grigsby, MSN, FNP-C
• Holly P Grigsby, MA, LMHC
• Alejandra Grillo Roa
• Lisa Elaine Grillo, SUDP
• Rhiann Grills, M.A.
• Linda F Grim, M.D.
• Parker Grim
• Brandon Scott Grimes, M.D.
• Jessica Laura Grimes
• Shatrice Grimes, CHW

• Medical Oncology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Medical Oncology Physician in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.