Individual provider Active NPI

Steven A Grant, D.O.

  • Family Medicine Physician
  • Everett, WA
National Provider Identifier
1801831896
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00002080 Issued in WA
Practice address
4301 Hoyt Ave
Everett, WA 98203
Phone
(425) 317-8025
NPI assigned
Jun 17, 2006
Last updated
May 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00002080 WA Primary

Addresses

Primary practice location

4301 Hoyt Ave
Everett, WA 98203

Mailing address

1728 W Marine View Dr Ste 110
Everett, WA 98201-2094
Phone (425) 259-4041

Other practice location 1

12728 19th Ave SE Ste 300
Everett, WA 98208-6526
Phone (425) 317-8025

Other identifiers 1

IdentifierTypeStateIssuer
8456352MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000181 WA Practitioner - Family Practice 2466465851 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Snohomish County CurrentSince Jul 6, 2020 Accepting new patients
Providence Health & Services- Washington CurrentSince Jan 1, 2009 Accepting new patients
Providence Health & Services - Washington Family Medicine CurrentSince Jan 1, 2009 Accepting new patients
Community Health Center of Snohomish County Family Medicine CurrentSince Jul 6, 2020 Accepting new patients
Stillaguamish Tribe of Indians CurrentSince Jan 1, 2021 Accepting new patients

Locations

5700 172nd St NE
#A
Arlington, WA 98223
Phone (360) 652-9640

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

4201 Rucker Ave
Everett, WA 98203
Phone (425) 382-4000

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

900 Pacific Ave
Ste 501
Everett, WA 98201
Phone (425) 258-7550

11603 State Ave
Ste G
Marysville, WA 98271
Phone (360) 658-6800

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

1830 Bickford Ave
Ste 211
Snohomish, WA 98290
Phone (360) 563-5900

Interoperability endpoints

  • Direct secure messaging: steven.grant.p2@direct.stillaguamish.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1801831896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W MARINE VIEW DR STE 110",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012094",
            "telephone_number": "425-259-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98203",
            "telephone_number": "425-317-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12728 19th Ave SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086526",
            "country_code": "US",
            "telephone_number": "425-317-8025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8456352",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.