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

Edward M. Grant, PA

Individual provider Physician Assistant · NPI 1417031980

Edward M. Grant, PA is a Physician Assistant in Santa Fe, New Mexico. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
26
Licensed in
NM
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

401 Botulph Ln
Santa Fe, NM 87505-6912
Phone: (505) 983-8387
Fax: (505) 820-2733
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2001PA42 (NM)

Record details

NPI number1417031980
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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