Ethan Grant, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Dayton, Ohio. His current practice location is
2261 Philadelphia Dr Ste 300, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 734-4141.
Ethan Grant is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578118618.
Healthcare Provider's Profile
Full Name | Ethan Grant |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2261 Philadelphia Dr Ste 300, Dayton, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ethan Grant attended and graduated from in
NPI Data:
- NPI Number: 1578118618
- Provider Enumeration Date: 08/06/2019
- Last Update Date: 04/18/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ethan Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578118618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | PT016847 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Grant is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ethan Grant, MD 2261 Philadelphia Dr Ste 300, Dayton, OH 45406-1814 Ph: (937) 734-4141 | Ethan Grant, MD 2261 Philadelphia Dr Ste 300, Dayton, OH 45406-1814 Ph: (937) 734-4141 |
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