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

Jamie Coy Grange, PA-C

Individual provider Medical Physician Assistant · NPI 1528438140

Jamie Coy Grange, PA-C is a Physician Assistant in Logan, Utah. Qualified in 2015, 11 years ago. Practices with Cache Valley Ear Nose and Throat, PLLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2245 N 400 E Ste 301
Logan, UT 84341-1892
Phone: (435) 753-7880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2380 N 400 E, North Logan, UT 84341-6000 — (435) 753-7880

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 95341561206 (UT)

Record details

NPI number1528438140
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2015
Last updated in NPPESJune 24, 2022
Certification dateJune 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cache Valley Ear Nose And Throat, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Logan