DR. SCOTT M. GRAHAM (NPI# 1154431609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154431609 |
| Entity Type | Individual |
| Full Name | DR. SCOTT M. GRAHAM |
| Credential | DO |
| Practice Address |
20 Granite State Ct Brewster MA 02631-2127 |
| Practice Telephone | 5082557200 |
| Practice Fax Number | 5082479801 |
| Mailing Telephone | 5082557200 |
| Mailing Fax Number | 5082479801 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 216184 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD PILGRIM HEALTH | 714460 | 01 |
| MA | 2005450 | 05 | |
| MA | TUFTS HEALTH PLAN | 463859 | 01 |
| MA | BC/BS | J25929 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932312097 | Scott David Graham | Military Health Care Provider | Eodmu 5 Unit 25499, 2112 Sumay Cove Drive, Santa Rita, GAUM 96915 | 2007-05-07 |
| 1750300497 | Scott T Graham | Physical Therapist | 2902 Forum Blvd, Suite 104, Columbia, MO 65203-5404 | 2006-07-19 |
| 1700801313 | Scott Allan Graham | Orthopaedic Surgery | 10 Harris Ct Bldg A, Ste A1, Monterey, CA 93940-5704 | 2006-07-13 |
| 1861452104 | Scott Fitzgerald Graham | Family Medicine | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2006-03-23 |
| 1922356856 | Scott Graham | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2012-08-27 |
| 1194923631 | Scott James Graham | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2007-07-06 |
| 1447478011 | Scott Thomas Graham | Dentist | 44075 N Gratiot Ave, Clinton Twp, MI 48036-1312 | 2007-04-21 |
| 1225132350 | Scott R Graham | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
| 1760453294 | Scott C Graham | Anesthesiology | 1275 York Ave, New York, NY 10021-6007 | 2006-02-01 |
| 1619947058 | Scott James Graham | Pathology | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2006-01-26 |
| Street Address |
20 GRANITE STATE CT |
| City | BREWSTER |
| State | MA |
| Zip Code | 02631-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242235 | William A Rhodes | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2005-08-17 |
| 1548389612 | Brewster Medical Associates, PC | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2007-03-28 |
| 1922138080 | Robert C Babin | Physician Assistant | 20 Granite State Ct, Brewster, MA 02631-2127 | 2007-03-07 |
| 1518060466 | James M. Woods | Physician Assistant | 20 Granite State Ct, Brewster, MA 02631-2127 | 2006-09-06 |
| 1811007347 | Barry J. Conant | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2006-08-30 |
| 1144330549 | Sharon G. Ervin | Nurse Practitioner | 20 Granite State Ct, Brewster, MA 02631-2127 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813850 | Pleasant Bay of Brewster Rehab Center LLC | Skilled Nursing Facility | 383 South Orleans Road, Brewster, MA 02631 | 2019-07-17 |
| 1669972790 | Julie Lynne Mollica | Social Worker | 456 Flax Pond Road, Brewster Treatment Program, Old Colony Ymca, Brewster, MA 02631 | 2018-02-15 |
| 1295244168 | Michele Louise Oconnor | Occupational Therapist | 1721 Long Pond Road, Brewster, MA 02631 | 2017-09-23 |
| 1356799902 | Katherine Drach Reilly | Behavioral Analyst | 63 Brook Trail Rd, Brewster, MA 02631 | 2016-05-24 |
| 1407214901 | Md Visits LLC | Emergency Medicine | 162 Highland Moors Dr., Brewster, MA 02631 | 2016-01-29 |
| 1720350390 | Kevin Whelley | Counselor | 21 Cross Street, Brewster, MA 02631 | 2012-01-30 |
| 1518238609 | Pleasant Bay Health and Wellness Center LLC | Physical Therapist | 64 Woodlands Way, Brewster, MA 02631 | 2012-01-20 |
| 1184740953 | Jacs Ops IIi, Inc | Assisted Living Facility | 855 Harwich Road, Brewster, MA 02631 | 2007-03-22 |
| 1184763997 | Beverly Ann Biondi | Physical Therapist | 84 Underpass Rd, Brewster, MA 02631 | 2007-02-06 |
| 1679646384 | Paul James Tausek | Social Worker | 25 Breakwater Rd, Brewster, MA 02631 | 2006-11-17 |
| Find all providers in zip 02631 | ||||
| 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 |
|---|---|---|---|---|
| 1972769446 | Bethany Lynn | Family Medicine | 418 W Main Street, Brewster, WA 98812 | 2008-08-04 |
| 1760683924 | James G Wallace Jr. | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2007-05-29 |
| 1295769446 | Anne Dubosky | Family Medicine | 418 W. Main St., Brewster, WA 98812 | 2006-07-11 |
| 1821022492 | Tamara Ellen Merritt | Family Medicine | 525 West Jay, Brewster, WA 98812-9701 | 2006-07-10 |
| 1821053208 | Main Street Health Associates, P.s. | Family Medicine | 418 West Main Avenue, Brewster, WA 98812 | 2006-04-19 |
| 1821076688 | Theodor Thomas Herwig | Family Medicine | 1 Independence Way, Brewster, MA 02631 | 2006-01-03 |
| 1447242235 | William A Rhodes | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2005-08-17 |
| 1811341522 | Jessica Ann Wilson | Family Medicine | 155 Main St, Brewster, NY 10509-1521 | 2016-04-19 |
| 1689061517 | Erin Cooley | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2015-04-17 |
| 1811259195 | Wenatchee Valley Hospital | Family Medicine | 418 W. Main St., Brewster, WA 98812 | 2012-06-12 |
| Find all providers in BREWSTER | ||||
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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.