MATTHEW GRAHAM (NPI# 1164830865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164830865 |
| Entity Type | Individual |
| Full Name | MATTHEW GRAHAM |
| Practice Address |
1309 W 17th St Ste 101 Sioux Falls SD 57104-8805 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053288000 |
| Practice Fax Number | 6053288001 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R036617 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447680681 | Matthew Kent Graham | Physical Therapist | 3680 Dolston Court Nw, Carroll, OH 43112 | 2013-11-26 |
| 1730485293 | Matthew Aaron Graham | Respite Care | 1710 Sky Mountain Way, Henderson, NV 89014-6013 | 2011-02-01 |
| 1235450073 | Matthew M. Graham | Internal Medicine | 3420 S Mercy Rd Ste 211, Gilbert, AZ 85297-0424 | 2010-06-16 |
| 1588991285 | Matthew David Graham | Acupuncturist | 3552 23rd St, San Francisco, CA 94110-3011 | 2009-11-17 |
| 1184105645 | Matthew C Graham | Dentist | 14420 Sommerville Ct, Midlothian, VA 23113-6835 | 2018-08-23 |
| 1861934242 | Matthew V Graham | Speech-Language Pathologist | 14409 Greenview Dr, 102, Laurel, MD 20708-3293 | 2016-11-16 |
| 1487066106 | Matthew Graham | Physician Assistant | 13075 W Mcdowell Rd, Ste D106, Avondale, AZ 85392-6436 | 2014-05-29 |
| 1316385784 | Matthew Adam Graham | Internal Medicine | 915 Gordon Ave, Thomasville, GA 31792-7812 | 2013-06-07 |
| 1619235314 | Matthew James Graham | Chiropractor | 1189 S Perry St, Ste. 150, Castle Rock, CO 80104-1959 | 2012-05-01 |
| 1861717688 | Matthew Graham | Physical Therapist | 430 Penn Lincoln Dr, Imperial, PA 15126-9781 | 2010-04-05 |
| Street Address |
1309 W 17TH ST STE 101 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285663757 | Michelle Renee Healy | Physician Assistant | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2006-06-30 |
| 1710482450 | Jill Waggoner | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2018-03-26 |
| 1376053678 | Lili Wat Wilson | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2017-10-02 |
| 1275042707 | Shauna Marie Jacobs | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2017-09-27 |
| 1164836318 | Michelle Janania Martinez | Student in an Organized Health Care Education/Training Program | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2014-06-16 |
| 1245644780 | Jacqueline Kelley | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2014-06-12 |
| 1972844793 | Sanford Clinic | Pharmacy | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2013-03-04 |
| 1174881015 | Avigayil East | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2012-04-29 |
| 1548454291 | Steven Francis Powell | Internal Medicine | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2007-09-05 |
| 1184743148 | Keely Marie Hack | Internal Medicine | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625854 | Mindy Thompson | Nurse Practitioner | 2501 S Louis Ave, Sioux Falls, SD 57109-4601 | 2020-06-26 |
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1013567627 | Kasandra Wheeler | Nurse Practitioner | 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 | 2019-09-16 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1679081350 | Abby Jo Viereck | Nurse Practitioner | 2301 E 60th St N, Sioux Falls, SD 57104-0569 | 2018-01-17 |
| 1356851661 | Alyssa Mae Welbig | Nurse Practitioner | 2315 W 57th St Ste 300, Sioux Falls, SD 57108-5163 | 2017-10-02 |
| 1023565645 | Amanda Glanzer | Nurse Practitioner | 7701 W 65th St, Sioux Falls, SD 57106-8802 | 2016-09-01 |
| 1750737318 | Steven Davis | Nurse Practitioner | 7231 W Chesapeake Ln, Sioux Falls, SD 57106-3842 | 2016-05-12 |
| 1609231943 | Jena Burgess | Nurse Practitioner | 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105-1062 | 2015-12-30 |
| 1093154213 | Jamie Kay Grant | Nurse Practitioner | 5009 S Louise Ave, Sioux Falls, SD 57108-2268 | 2013-06-20 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
Please comment or provide details below to improve the information on MATTHEW GRAHAM.
| 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.