MR. BEN RAY GRAHAM (NPI# 1003209529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003209529 |
| Entity Type | Individual |
| Full Name | MR. BEN RAY GRAHAM |
| Credential | PA-C |
| Practice Address |
1901 N Macarthur Blvd Irving TX 75061-2220 |
| Mailing Address |
504 Onyx Ct Mesquite TX 75149-7530 |
| Practice Telephone | 9725798100 |
| Mailing Telephone | 9729511283 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA09659 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558497669 | Ben Victor Graham | Optometrist | 11850 Sherri Ln, 11850 Sherri Lane, Miami, FL 33183-4832 | 2007-02-25 |
| Street Address |
1901 N MACARTHUR BLVD |
| City | IRVING |
| State | TX |
| Zip Code | 75061-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700983 | Baylor Medical Center At Irving | General Acute Care Hospital | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2005-06-16 |
| 1497367189 | Kristina Deniece Russell | Specialist/Technologist, Other | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2020-08-23 |
| 1538621248 | Aimee Nicole Samuels | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2019-04-02 |
| 1578039699 | Tan Tran | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2018-10-16 |
| 1336629393 | Sujatha Joseph | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2018-08-20 |
| 1710482427 | Victoria Deanda | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2018-03-26 |
| 1962954172 | Margaret Eileen Reardon | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061 | 2016-11-04 |
| 1518361930 | Margaret Alexandra Kennedy | Physician Assistant | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2014-10-14 |
| 1104243682 | Natalia Bubien | Physical Therapist | 1901 N Macarthur Blvd, Irving, TX 75061 | 2014-03-24 |
| 1962823989 | Kim Nguyen | Physician Assistant | 1901 N Macarthur Blvd, Emergency Department, Irving, TX 75061-2220 | 2013-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078491 | Mahnura Khatoon Siddika | Physician Assistant | 2443 Newcastle Bnd, Irving, TX 75063-8120 | 2019-05-10 |
| 1639649189 | Andrea Lee Kwan | Physician Assistant | 1050 Lake Carolyn Pkwy Apt 3348, Irving, TX 75039-4800 | 2018-11-27 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1588069892 | Olga Jigovskaia | Physician Assistant | 3626 N Macarthur Blvd Ste 200, Irving, TX 75062-3643 | 2014-10-29 |
| 1982030722 | Kristen Diane Bachus | Physician Assistant | 440 W Ih 635 Fwy Ste 405, Irving, TX 75063 | 2013-09-25 |
| 1689707515 | Michael D Sullivan | Physician Assistant | 6500 Sierra Dr Ste 150, Irving, TX 75039-2480 | 2007-03-13 |
| 1174661599 | Juan Augustine Galindo Jr. | Physician Assistant | 6909 Sonoma, Irving, TX 75039-3071 | 2007-02-01 |
| 1396808333 | Lori Schomberg | Physician Assistant | 212 Santa Fe Trl, Apt. # 2042, Irving, TX 75063-4719 | 2006-12-19 |
| 1558384396 | Cynthia Ann Goff | Physician Assistant | 909 Lake Carolyn Pkwy, Irving, TX 75039-3908 | 2006-07-25 |
| 1275563637 | Michael Ernest Nicholas Jr. | Physician Assistant | 3014 N. O Connor, Suite 110, Irving, TX 75062-4415 | 2006-07-03 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.