Peter Grant MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C43023 Issued in CA

Legal business name

PETER GRANT MD

Practice address

635 Lassen LN
Mount Shasta, CA 96067-9003

Phone

(530) 926-5211

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter A Grant, MDNPI 1992862296

Title

Solo Practitioner

Phone

(530) 926-5211

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCHHBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Alan Grant, MD

  • Physical Medicine & Rehabilitation Physician
  • Medford, OR
  • NPI 1992862296
  NPD (past) Authorized official

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1841483732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E BARNETT RD",
            "address_2": "SUITE E #225",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044301",
            "telephone_number": "541-842-4404",
            "fax_number": "541-772-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 LASSEN LN",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679003",
            "telephone_number": "530-926-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER GRANT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLO PRACTITIONER",
        "authorized_official_telephone_number": "530-926-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C43023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Henderson Parker, MD
• Elaine Patterson, RDN
• Michael Pautz, MFTI
• Boris Andrew Pereira, PHARMACIST
• Kenneth Nolan Perry, PHARMD
• Rodney Petersen
• Allison Pinkerton, LMFT
• Jessi Punt
• Olivia Sheriann-Pease Pyle
• Christopher Jones Rackoff, MD

• Physical Medicine & Rehabilitation Physician in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.