Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan R Grant, MD

Individual provider Otolaryngology Physician · NPI 1912064577

Dr. Jonathan R Grant, MD is a Plastic and Reconstructive Surgery in Mount Vernon, Washington. Graduated from Baylor College of Medicine in 2003, 23 years ago. Licensed in Massachusetts, Washington and Wisconsin.

Years since qualifying
23
Trained at
Baylor College of Medicine
Licensed in
MA, WA, WI
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 S 13th St
Mount Vernon, WA 98274-4105
Phone: (360) 336-2178
Fax: (360) 336-1674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence MD60187241 (WA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 47898-020 (WI)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 242010 (MA)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X · Licence MD60187241 (WA)
Surgery Physician Taxonomy 208600000X · Licence MD60187241 (WA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence MD60187241 (WA)

Record details

NPI number1912064577
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESMarch 15, 2012
Mailing address111 S 13th St, Mount Vernon, WA 98274-4105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesOTOLARYNGOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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