STEPHANIE GRAHAM (NPI# 1043706856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043706856 |
| Entity Type | Individual |
| Full Name | STEPHANIE GRAHAM |
| Credential | PAC |
| Practice Address |
11700 W 2nd Pl Ste 350 Lakewood CO 80228 |
| Mailing Address |
901 Colorado Blvd Apt 311 Denver CO 80206-4087 |
| Practice Telephone | 3035952727 |
| Mailing Telephone | 6304403899 |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2030 Mountain View Ave Ste 300, Longmont, CO 805013181 | 3035154651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1306238704 | Stephanie Graham | Family Medicine | 100 Brevco Plz Ste 107, Lake St Louis, MO 63367-1392 | 2015-02-23 |
| 1740598176 | Stephanie Stephanie Graham | Registered Nurse | 369 Lakeview Dr, Byesville, OH 43723-9795 | 2010-09-20 |
| 1962623363 | Stephanie Elaine Graham | Dentist | 530 E Broadway St, Sparta, IL 62286-1816 | 2007-05-01 |
| 1073520821 | Stephanie Graham | Counselor | 541 Bertonley Ave, Charlotte, NC 28211-1503 | 2006-08-02 |
| 1467934034 | Stephanie Michelle Graham | Counselor | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2018-08-30 |
| 1609239318 | Stephanie Graham | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2016-03-30 |
| 1962811521 | Stephanie V. Graham | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2014-08-07 |
| 1407278781 | Stephanie Lynn Graham | Naturopath | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2014-01-06 |
| 1497186936 | Stephanie Nicole Graham | Nurse Practitioner | 13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926 | 2013-12-10 |
| Street Address |
11700 W 2ND PL STE 350 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629032669 | James H Beckmann | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2006-04-14 |
| 1447780853 | Timothy Michele Covi | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2017-06-18 |
| 1326440488 | William Mills Fuller | Physician Assistant | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2014-09-20 |
| 1417366873 | Federico Garcia Trobo | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2014-08-10 |
| 1629493689 | Megan Punt | Physician Assistant | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2014-02-27 |
| 1033485115 | Abdallah Youssef Bitar | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2012-03-22 |
| 1972824662 | David J Halpin | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228 | 2010-06-16 |
| 1427201938 | Layth Saleh | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2008-10-28 |
| 1962660423 | Ahmad M.ba. Alqaqa'a | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2008-05-30 |
| 1447437330 | Ganesh S Venkataraman | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2008-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457804973 | Rachael Anne Ruscitto | Physician Assistant | 2298 Woodward Ave, Lakewood, OH 44107-5561 | 2016-08-02 |
| 1588047518 | Geoffrey Slater | Physician Assistant | 285 Zang St Apt 2834, Lakewood, CO 80228-1032 | 2015-07-08 |
| 1225466824 | Joseph Beren | Physician Assistant | 150 James St Ste 204, Lakewood, NJ 08701-4101 | 2013-10-17 |
| 1184962649 | Rodger Howard Steinem | Physician Assistant | 5501 W Mississippi Ave, Lakewood, CO 80226-4811 | 2013-01-17 |
| 1942569553 | Maria Elena Arredondo | Physician Assistant | 5712 Coldbrook Ave, Lakewood, CA 90713-1442 | 2012-05-16 |
| 1730496886 | Johnna Jaynstein | Physician Assistant | 13300 W 6th Ave, Campus Box 44, Lakewood, CO 80228-1213 | 2010-09-10 |
| 1881878635 | Christian Angelo Cruz | Physician Assistant | 2529 Greentop St, Lakewood, CA 90712-3609 | 2007-12-28 |
| 1649499054 | Shinobu Inoue | Physician Assistant | 6210 75th St W Ste A200, Lakewood, WA 98499-8110 | 2007-04-24 |
| 1134257603 | Michele Lee Saul-langford | Physician Assistant | 2425 Carson St., #22, Lakewood, CA 90712 | 2007-02-28 |
| 1407930456 | Jon Derik Mortensen | Physician Assistant | 10510 Gravelly Lake Dr., Community Health Care - Lakewood Clinic, Lakewood, WA 98499 | 2006-10-25 |
| Find all providers in LAKEWOOD | ||||
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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.