MR. GRAHAM JOSHUA ANDERSON (NPI# 1053924522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053924522 |
| Entity Type | Individual |
| Full Name | MR. GRAHAM JOSHUA ANDERSON |
| Credential | CRPA-P4479 |
| Practice Address |
64 Linwood Ave. Buffalo NY 14209 |
| Practice Telephone | 7164244211 |
| Practice Fax Number | 7168844211 |
| Mailing Telephone | 7164244211 |
| Mailing Fax Number | 7168844211 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CRPA-P-4470 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249821 | Graham Anderson | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-09-10 |
| Street Address |
64 LINWOOD AVE. |
| City | BUFFALO |
| State | NY |
| Zip Code | 14209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
| 1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
| 1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
| 1073837787 | Vimal Sarup | Student in an Organized Health Care Education/Training Program | 1176 Main Street, Ross Eye Institute/university At Buffalo, Buffalo, NY 14209 | 2010-03-24 |
| Find all providers in zip 14209 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1184285702 | Terence Andre Nix | Peer Specialist | 25 Delsan Ct, Buffalo, NY 14216-1212 | 2019-06-25 |
| 1225552003 | Karen Romaina Ellington I | Peer Specialist | 95 W Humboldtparkway, Buffalo, NY 14214 | 2017-08-02 |
| 1417354531 | Families' Child Advocacy Network, Inc. | Peer Specialist | 135 Delaware Ave, Suite 307, Buffalo, NY 14202-2416 | 2014-12-04 |
| 1780285296 | Mental Health Association of Erie County | Peer Specialist | 1021 Broadway St, Buffalo, NY 14212-1460 | 2020-11-03 |
| 1477153906 | Veronica Thompson | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-26 |
| 1023616638 | Eilise Maeve Shaw | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-15 |
| 1184239816 | Mqdad Bayz | Peer Specialist | 255 Delaware Ave, Buffalo, NY 14202-2016 | 2020-09-10 |
| 1083226914 | Iris Savoy-burke | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-08-21 |
| 1588286280 | Jasmine Shaddai Carroll | Peer Specialist | 1050 Niagara St, Buffalo, NY 14213-2001 | 2020-05-15 |
| Find all providers in BUFFALO | ||||
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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.