DR. HURLIS VONDALE GRAHAM (NPI# 1043289721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043289721 |
| Entity Type | Individual |
| Full Name | DR. HURLIS VONDALE GRAHAM |
| Credential | M.D. |
| Practice Address |
1515 N Harvard Ave Ste E Tulsa OK 74115-4957 |
| Mailing Address |
1705 E 19th St Ste 302 Tulsa OK 74104-5405 |
| Practice Telephone | 9188326049 |
| Practice Fax Number | 9188326055 |
| Mailing Telephone | 9187487585 |
| Mailing Fax Number | 9187487539 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2009-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10072 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100071120A | 05 |
| Street Address |
1515 N HARVARD AVE STE E |
| City | TULSA |
| State | OK |
| Zip Code | 74115-4957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306287982 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 1515 N Harvard Ave, Suite D, Tulsa, OK 74115-4957 | 2013-07-11 |
| 1356429500 | St. John Dialysis, LLC | Clinic/Center | 1515 N Harvard Ave, Tulsa, OK 74115-4957 | 2006-11-02 |
| 1558383729 | Elizabeth Frost | Anesthesiology | 1515 N Harvard Ave, Suite E, Tulsa, OK 74115-4957 | 2006-07-24 |
| 1144249301 | Ann E Bartoloni | Anesthesiology | 1515 N Harvard Ave, Suite E, Tulsa, OK 74115-4957 | 2006-07-19 |
| 1902868599 | James Easley | Anesthesiology | 1515 N Harvard Ave, Suite E, Tulsa, OK 74115-4957 | 2006-04-06 |
| 1689636292 | Gregory Marino | Anesthesiology | 1515 N Harvard Ave, Suite E, Tulsa, OK 74115-4957 | 2006-04-06 |
| 1760445308 | Harold Stratton | Anesthesiology | 1515 N Harvard Ave, Suite E, Tulsa, OK 74115-4957 | 2006-04-06 |
| 1306808456 | Dan Lee Wiesemeyer | Anesthesiology | 1515 N Harvard Ave, Suite E, Tulsa, OK 74115-4957 | 2006-04-04 |
| 1053373167 | Darrell Heck | Anesthesiology | 1515 N Harvard Ave, Suite E, Tulsa, OK 74115-4957 | 2006-04-04 |
| 1154382828 | James Byran Wesson | Clinical Nurse Specialist | 1515 N Harvard Ave, Ste. E, Tulsa, OK 74115-4957 | 2006-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698899 | Pateisha Royal | Counselor | 7813 E. Independence St., Tulsa, OK 74115 | 2017-06-08 |
| 1154788750 | Heather Sisson-white | Case Manager/Care Coordinator | 132 N. Marion Ave, Tulsa, OK 74115 | 2016-01-27 |
| 1427234004 | American Current Care P.a. | Clinic/Center | 1541 North Sheridan Road, Tulsa, OK 74115 | 2008-01-14 |
| 1205031317 | Veera Aparanji Kaja | Dentist | 6801 E. Admiral Place, Tulsa, OK 74115 | 2007-06-19 |
| 1922137926 | Gregory L Mitchell | Preventive Medicine | 1515 N Harvard, Suite B, Tulsa, OK 74115 | 2007-03-05 |
| 1215942602 | G Chris Bussman | Dentist | 6716 E Pine, Tulsa, OK 74115 | 2006-07-31 |
| 1205870912 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | Bcchs Celia Clinton Elementary, 1740 N. Harvard Ave., Tulsa, OK 74115 | 2006-06-15 |
| 1356853832 | Phoenix Soleil-maria Cooper | Case Manager/Care Coordinator | 3641 E 36th St N, Tulsa, OK 74115-1702 | 2017-10-24 |
| 1215380449 | Taleya Mayberry | Case Manager/Care Coordinator | 4115 E 36th St N, Tulsa, OK 74115-1709 | 2016-07-23 |
| 1104925619 | Marsha Ann Basner | Nutritionist | 3324 E 30th Pl N, Tulsa, OK 74115-2421 | 2006-09-21 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033688270 | Results Medical Aesthetics LLC | Internal Medicine | 8014 S. 101st E. Ave., Suite 200, Tulsa, OK 74133-4580 | 2018-11-16 |
| 1598175077 | Jm Medical | Internal Medicine | 4181 Oak Rd, Tulsa, OK 74105 | 2014-05-05 |
| 1891131223 | Rebecca Thrun | Internal Medicine | 6600 S Yale Ave Ste 800, Tulsa, OK 74136 | 2013-05-13 |
| 1477811321 | Syed Tahsin Ahmed | Internal Medicine | 7356 S Trenton Ave, Tulsa, OK 74136-7357 | 2012-04-30 |
| 1861761660 | Satyabama C Johnson Sr. | Internal Medicine | 3145 East 82 Street, Ok74137, Tulsa, OK 74137 | 2011-12-22 |
| 1447541172 | Kara Marie Beair-butler | Internal Medicine | 5018 E 68th St Ste 200, Tulsa, OK 74136-3338 | 2011-04-28 |
| 1235428921 | John Charles Hervert | Internal Medicine | 9645 Riverside Pkwy Ste C, Tulsa, OK 74137-7427 | 2011-04-04 |
| 1366747149 | Zubair Ashraf | Internal Medicine | 1145 S Utica Ave Ste 1109, Tulsa, OK 74104-4010 | 2011-01-25 |
| 1679892764 | Lindsey Tricinella | Internal Medicine | 3345 S Harvard Ave Ste 201, Tulsa, OK 74135-1809 | 2010-05-27 |
| 1770800435 | South Tulsa Urgent Care LLC | Internal Medicine | 7731 E 91st St, Suite C, Tulsa, OK 74133-6022 | 2010-04-21 |
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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.