SCOTT R GRAHAM (NPI# 1225132350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225132350 |
Entity Type | Individual |
Full Name | SCOTT R GRAHAM |
Credential | MD |
Practice Address |
700 Cassidy Ave Fredonia KY 42411 |
Mailing Address |
Po Box 195 700 Cassidy Ave Fredonia KY 42411 |
Practice Telephone | 2705453386 |
Practice Fax Number | 2705453712 |
Mailing Telephone | 2705453386 |
Mailing Fax Number | 2705453712 |
Enumeration Date | 2006-09-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 25831 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64258312 | 05 | |
KY | DEA | AG2308799 | 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 |
1154431609 | Scott M. Graham | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2006-08-30 |
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 |
700 CASSIDY AVE |
City | FREDONIA |
State | KY |
Zip Code | 42411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114923257 | Corner Homecare Inc | Durable Medical Equipment & Medical Supplies | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2005-06-23 |
1265076947 | Caldwell County Hospital Inc | Clinic/Center | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2019-11-05 |
1427334051 | Easycare Inc | Pharmacy | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2011-10-27 |
1447560024 | Easycare Inc | Pharmacy | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2010-10-15 |
1558402867 | Family Practice Care LLC | Nurse Practitioner | 700 Cassidy Ave, Fredonia, KY 42411 | 2007-02-09 |
1407950538 | Family Practice Care LLC | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
1194716167 | Beverly Annett Jones | Nurse Practitioner | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2005-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013121052 | Janet Stewart | Speech-Language Pathologist | 201 Dorroh Street, Fredonia, KY 42411-0121 | 2007-05-09 |
1851754717 | Megan Daugherty | Speech-Language Pathologist | 1200 Dalton Rd, Fredonia, KY 42411-9672 | 2016-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013516277 | Dawn J Manzella | Specialist | 135 W Mainn St, Fredonia, NY 14063 | 2020-10-20 |
1831796697 | Jose L Caraballo | Non-emergency Medical Transport (VAN) | 39 White St, Fredonia, NY 14063-1817 | 2020-10-05 |
1518573062 | Amy Lee Peters | Speech-Language Pathologist | 9571 Stone Rd, Fredonia, NY 14063-9640 | 2020-09-21 |
1003436700 | Speakn Up LLC | Speech-Language Pathologist | 45 N First East St, Fredonia, AZ 86022-0079 | 2020-04-22 |
1023638806 | David Armstrong Lambert | Speech-Language Pathologist | 221 East Hortt Strett, Fredonia, AZ 86022 | 2020-04-21 |
1528609666 | Southeast Kansas Nutrition LLC | Dietitian, Registered | 419 N 6th St Ste 16, Fredonia, KS 66736-1300 | 2019-09-30 |
1790336337 | Roxanne Blake | Technician | 34 Ryan Pl, Fredonia, NY 14063-2300 | 2019-09-25 |
1942857677 | Terry Lea Marr | Technician | 3488 2300 Rd, Fredonia, KS 66736-2204 | 2019-08-19 |
1265909568 | Emily Marie Ludwig | Student in an Organized Health Care Education/Training Program | 3 Andrew Ct, Fredonia, NY 14063 | 2018-10-25 |
1689157844 | Brian Paul Masciadrelli | Social Worker | 16 Leverett St, Fredonia, NY 14063-1725 | 2018-09-12 |
Find all providers in FREDONIA |
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 |
---|---|---|---|---|
1467565879 | Oswaldo Cruz Bacani Sr. | Family Medicine | 1525 Madison St Ste 3, Fredonia, KS 66736-1704 | 2006-08-17 |
1548238876 | Canyonlands Community Health Care | Family Medicine | 100 E Wood Hill Road, Fredonia, AZ 86022-0175 | 2006-03-11 |
1750754610 | Jennifer Bacani Mckenney, Md, LLC | Family Medicine | 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 | 2015-11-01 |
1023318375 | Ambrosio P Mendiola Md LLC | Family Medicine | 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 | 2010-11-02 |
1689893448 | Jennifer Bacani Mckenney | Family Medicine | 1525 Madison St, Suite 3, Fredonia, KS 66736-1751 | 2007-04-24 |
1407950538 | Family Practice Care LLC | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
1750372280 | James E Clay | Family Medicine | 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 | 2005-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
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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.