Active NPI
Lynn McKinley-Grant, MD, PC
- Procedural Dermatology Physician
- Chevy Chase, MD
National Provider Identifier
1962686204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- Legal business name
- LYNN MCKINLEY-GRANT, MD, PC
- Practice address
- 5454 Wisconsin Ave
Suite 1275
Chevy Chase, MD 20815-6901 - Phone
- (301) 941-8166
- Fax
- (301) 941-8025
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lynn J McKinley-Grant, M.D.
- Title
- President/Physician
- Phone
- (301) 941-8166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | Primary |
Addresses
Primary practice location
5454 Wisconsin Ave
Suite 1275
Chevy Chase, MD 20815-6901
Mailing address
5454 Wisconsin Ave
Suite 1275
Chevy Chase, MD 20815-6901
Phone (301) 941-8166
National Provider Directory
National Provider DirectoryLocations
5454 Wisconsin Ave
Ste 1275
Chevy Chase, MD 20815
Phone (240) 743-4535
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Glen Burnie, MD
- NPI 1275574378
-
- Dermatopathology Physician
- Silver Spring, MD
- NPI 1134193733
-
- Medical Physician Assistant
- Chevy Chase, MD
- NPI 1598947129
-
- Specialist
- Charleston, WV
- NPI 1699875468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198195200000",
"number": "1962686204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 1275",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-941-8166",
"fax_number": "301-941-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 1275",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-941-8166",
"fax_number": "301-941-8025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNN MCKINLEY-GRANT, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A",
"authorized_official_last_name": "MCKINLEY-GRANT",
"authorized_official_first_name": "LYNN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "301-941-8166",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.