DR. LEROY GRAHAM JR. (NPI# 1043325434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043325434 |
| Entity Type | Individual |
| Full Name | DR. LEROY GRAHAM JR. |
| Credential | MD |
| Practice Address |
15408 Warwick Blvd Newport News VA 23608-1576 |
| Practice Telephone | 7578900012 |
| Practice Fax Number | 7578900013 |
| Mailing Telephone | 7578900012 |
| Mailing Fax Number | 7578900013 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101229881 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BLUE CROSS BLUE SHIELD | 145933 | 01 |
| VA | MDIPA | 2126544 | 01 |
| VA | OPTIMA | 76157 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376816389 | Leroy Clarence Graham | Pharmacist | 125 S Washington St, Nevada, MO 64772-3329 | 2012-02-22 |
| 1063452001 | Leroy M Graham | Pediatrics | 1100 Lake Hearn Dr, Ste 450, Atlanta, GA 30342 | 2006-06-07 |
| Street Address |
15408 WARWICK BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23608-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427259233 | Stoneybrook Family Practice PC | Family Medicine | 15408 Warwick Blvd, Newport News, VA 23608-1576 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943932 | Marian Elizabeth Green | Registered Nurse | 628 Aylesbury Dr., Newport News, VA 23608 | 2018-12-16 |
| 1255707113 | Global Counseling Services LLC | Counselor | 393 Denbigh Blvd. Suite 5, Newport News, VA 23608 | 2015-08-14 |
| 1720463128 | Nurturing Hearts Services | In Home Supportive Care | 926 Verline Ct, Newport News, VA 23608 | 2015-07-27 |
| 1508253949 | Morrison, Hartley, & Sanchez, P.C. | Dentist | 710 Denbigh Boulevard, Bldg. 1, Suite C, Newport News, VA 23608 | 2015-04-23 |
| 1033543459 | First Choice Solutions | Home Health Aide | 710 Denbigh, 4b, Newport News, VA 23608 | 2013-08-22 |
| 1366888042 | Megan Paige Dotson | Occupational Therapist | 655 Denbigh Blvd Newport News, Morning Side of Newport News, Newport News, VA 23608 | 2013-05-21 |
| 1194098848 | Riverside Retirement Service | PACE Provider Organization | 439 Oriana Road, Newport News, VA 23608 | 2012-02-10 |
| 1427340876 | Teawanna Cooper | Home Health Aide | 360 Roseman Ct, Apt 3d, Newport News, VA 23608 | 2011-05-04 |
| 1265763528 | Just Us Kidz Incorporated | Community/Behavioral Health | 393 Denbigh Blvd, Suite 1, Newport News, VA 23608 | 2010-01-26 |
| 1174656862 | Peninsula Institute for Community Health Inc | Clinic/Center | 15425h Warwick Blvd, Newport News, VA 23608 | 2007-03-13 |
| Find all providers in zip 23608 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1285071233 | Kevin Paul Wolf | Family Medicine | 12420 Warwick Blvd Bldg 3, Riverside Internal Medicine, Newport News, VA 23606-3001 | 2013-05-31 |
| 1558596031 | Tam Xuan Tran | Family Medicine | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2009-05-27 |
| 1912166562 | Rudolph Joseph Naurath | Family Medicine | 21 Beverly Hills Dr, Newport News, VA 23606-2157 | 2008-06-07 |
| 1861650806 | Ricardo J Guardia | Family Medicine | 206 Cameron Dr, Newport News, VA 23606-1431 | 2008-05-27 |
| 1396941852 | Darany Khun Toy | Family Medicine | 12695 Mcmanus Blvd Bldg 6, Newport News, VA 23602-4435 | 2007-06-22 |
| 1437351889 | Rabbiya Nasir Abidi | Family Medicine | 500 J Clyde Morris Boulevard, Riverside Regional Medical Center, Newport News, VA 23601 | 2007-06-05 |
| 1548475775 | Daniel Lee Medical Group PC | Family Medicine | 716 Denbigh Blvd Suite C3, Newport News, VA 23608-4414 | 2007-05-11 |
| 1275751166 | Sinclair B. Mccracken, Md, PC | Family Medicine | 704 Thimble Shoals Blvd Ste 600a, Newport News, VA 23606-4558 | 2007-04-23 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23608 |
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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.