DR. MATTHEW RYAN GRAFENBERG (NPI# 1225001357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225001357 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RYAN GRAFENBERG |
| Credential | M.D. |
| Practice Address |
5 Firstvillage Drive Pinehurst NC 28374 |
| Mailing Address |
5 Firstvillage Drive Po Box 2000 Pinehurst NC 28374 |
| Practice Telephone | 9102956831 |
| Practice Fax Number | 9102950244 |
| Mailing Telephone | 9102956831 |
| Mailing Fax Number | 9102950244 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2008-00324 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
5 FIRSTVILLAGE DRIVE |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850274 | Huey Willy Chu | Surgery | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2005-06-09 |
| 1851877005 | Chelsea Lynn Mitek | Registered Nurse | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2018-07-11 |
| 1922554088 | Tracy Christina Mcadoo | Nurse Practitioner | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2016-08-29 |
| 1093260549 | Lillian Grace Schnitzer | Nurse Practitioner | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2016-08-24 |
| 1679923635 | Keynadomnicia Chioma Udenze | Nurse Practitioner | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2016-06-20 |
| 1144687609 | Desek Coray Gibson | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2016-01-28 |
| 1043675291 | Robert A Bibey | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2015-12-15 |
| 1033532791 | Stephen M. Bush | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2014-01-30 |
| 1437590072 | Catherine Jane Helming-sauter | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2013-07-11 |
| 1073951844 | Taylor Mccauley | Obstetrics & Gynecology | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2013-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184887234 | Waldemar L Riefkohl | Otolaryngology | 5 First Village Dr, Pinehurst, NC 28374 | 2008-07-09 |
| 1982611885 | Stanley Cullen Cox IIi | Otolaryngology | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2006-08-02 |
| 1740295500 | Carl W Berk | Otolaryngology | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2006-07-30 |
| 1053335919 | Wyman Thomas Mcguirt | Otolaryngology | 5 First Village Drive, Pinehurst, NC 28374 | 2006-07-26 |
| 1962434324 | Pinehurst Surgical Clinic Pa | Otolaryngology | 5 First Village Drive, Pinehurst, NC 28374 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605888 | Inbal Hazkani Bendror | Otolaryngology | 1217 Mossy Glade Cir, Apex, NC 27502-4874 | 2019-12-05 |
| 1174183156 | Queen City Ear Nose and Throat Pllc | Otolaryngology | 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660 | 2019-06-20 |
| 1194244012 | Ethan Staats | Otolaryngology | 391 Heaton Forest Rd, Cashiers, NC 28717 | 2017-09-12 |
| 1528423068 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 | 2015-12-29 |
| 1598151763 | Adam Richard Gigliotti | Otolaryngology | 400 E Stonewall St, Charlotte, NC 28202-3601 | 2015-04-14 |
| 1891112389 | Marshall Snow | Otolaryngology | 109 Piedmont Ave, Winston Salem, NC 27101-3607 | 2014-03-24 |
| 1073937942 | John Monroe | Otolaryngology | 525 Hardee Branch Rd, West End, NC 27376-8961 | 2014-02-12 |
| 1457794893 | Candace Mitchell Waters | Otolaryngology | 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 | 2013-04-16 |
| 1457794927 | Amanda Jo Lott Marcellino | Otolaryngology | 1132 N Church St Ste 200, Greensboro, NC 27401 | 2013-04-15 |
| 1710320510 | Nicolas-george Katsantonis | Otolaryngology | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 | 2013-04-10 |
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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.