TIMOTHY EUGENE GRAHAM


Address: 2901 N 4th St, Longview, TX 75605-5128
Phone: 9032323660

TIMOTHY EUGENE GRAHAM (NPI# 1235196742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235196742
Entity Type Individual
Full Name TIMOTHY EUGENE GRAHAM
Credential M.D.
Practice Address 2901 N 4th St
Longview
TX 75605-5128
Mailing Address 816 W Cannon St
Fort Worth
TX 76104-3146
Practice Telephone 9032323660
Mailing Telephone 8173210404
Mailing Fax Number 8173210486
Enumeration Date 2006-04-27
Last Update Date 2020-02-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
H4356 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 101468003 05

Other Providers TIMOTHY GRAHAM

NPI Name Taxonomy Address Enumeration
1386055614 Timothy M. Graham Podiatrist 805 Farson St Ste 113, Belpre, OH 45714-1000 2014-05-08
1134213119 Timothy J Graham Podiatrist 708 W Springfield Rd, Taylorville, IL 62568-1200 2006-10-03
1134162258 Timothy E Graham Internal Medicine 7410 S Creek Rd Ste 100, Sandy, UT 84093-6151 2006-06-14
1609863661 Timothy Patrick Graham Family Medicine 477 Cooper Rd Ste 300, Westerville, OH 43081-8057 2005-10-04
1710390869 Timothy Aaron Graham Radiology 4200 W Memorial Rd Ste 212, Oklahoma City, OK 73120-8305 2014-06-06
1124377726 Timothy S Graham Pharmacist 173 Elm St, Pittsfield, MA 01201 2012-08-29
1982867347 Timothy Patrick Graham Anesthesiology 700 S Park St, Madison, WI 53715-1830 2008-07-07
1285774513 Timothy P. Graham Social Worker 720 Wood St, Eureka, CA 95501-4413 2007-02-07
1831157460 Timothy S Graham Orthopaedic Surgery 3120 Wilmington Rd, New Castle, PA 16105 2006-05-03
1699747766 Timothy J Graham Nurse Anesthetist, Certified Registered 12634 Olive Blvd, Ste 122, Saint Louis, MO 63141-6337 2006-02-03

Office Location

Street Address 2901 N 4TH ST
City LONGVIEW
State TX
Zip Code 75605-5128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952364234 Mary Lynn Vassar Dietitian, Registered 2901 N 4th St, Longview, TX 75605-5128 2006-04-08
1730577404 Kyle Bryce Coker Nurse Anesthetist, Certified Registered 2901 N 4th St, Longview, TX 75605-5128 2015-01-05
1770986572 Catrina Beard Nurse Anesthetist, Certified Registered 2901 N 4th St, Longview, TX 75605-5128 2014-10-07
1710300785 Rachel Marie Hagler Nurse Anesthetist, Certified Registered 2901 N 4th St, Longview, TX 75605-5128 2014-01-28
1861763278 Randall Verzwyvelt Nurse Anesthetist, Certified Registered 2901 N 4th St, Longview, TX 75605-5128 2012-01-17
1245532969 Lori Mccool Guthrie Nurse Practitioner 2901 N 4th St, Longview, TX 75605-5128 2010-12-01
1093031866 Justin Klein Dietitian, Registered 2901 N 4th St, Longview, TX 75605-5128 2010-04-19
1215264163 Niki Michelle Fincher Registered Nurse 2901 N 4th St, Longview, TX 75605-5128 2009-11-13
1467682567 Longview Regional Medical Center General Acute Care Hospital 2901 N 4th St, Longview, TX 75605-5128 2009-07-23
1881834166 Brian Robert Schott Nurse Anesthetist, Certified Registered 2901 N 4th St, Longview, TX 75605-5128 2009-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194353730 Dusty Rae Hane Nurse Practitioner Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 2020-03-30
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1245733492 Somers Pediatrics Pediatrics 103 W. Loop 281, Suite 474, Longview, TX 75605 2018-03-14
1467838391 Piney Woods Er II LLC Clinic/Center 120 East Loop 281, Longview, TX 75605 2015-08-03
1386023968 Elizabeth Ann Heeb Tidwell Obstetrics & Gynecology 802 Medical Dr Ste 100, Longview, TX 75605 2015-05-28
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1073881280 Deirdre Scotter Specialist/Technologist 201 E Tomlinson Pkwy, Longview, TX 75605 2011-12-02
1316230139 Traditions Hospice of Longview, LLC Hospice Care, Community Based 4362 N Us Hwy 259, Suite B, Longview, TX 75605 2011-05-26
1184916769 Telema Dikibujiri Nga Pediatrics Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 2011-05-13
1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730695214 Clinton Ray Brunson, Md Pa Radiology 3206 4th St, Longview, TX 75605-5143 2017-12-20
1205861895 Longview Diagnostic Imaging, Ltd Radiology 1010 N 6th St, Longview, TX 75601-5534 2006-07-11
1316992720 Open Advanced Mri Longview LLC Radiology 1015 Ocean Beach Hwy, #125, Longview, WA 98632-4098 2006-05-23
1447208103 Venous Laser Center of East Texas Radiology 903 N 4th St, Longview, TX 75601-5416 2006-05-05
1295725158 Radames Martinez Jr. Radiology 3713 Holly Trl, Longview, TX 75605-2541 2005-10-24
1114920444 John Richardson Wilcox Jr. Radiology 4777 Us Highway 259, Longview, TX 75605-7668 2005-05-31
1922481472 Radiology Diagnostics Radiology 4777 Us Highway 259, Longview, TX 75605-7668 2015-07-01
1407050693 Kianne Abraham Hardee Radiology 700 E Marshall Ave, Longview, TX 75601-5580 2007-06-12
1336245943 Scott G Bryk Radiology 2901 N 4th St, Lrmc - Radiology Department, Longview, TX 75605-5128 2006-09-15
1235178286 Steven M Urman Radiology 1015 Ocean Beach Hwy, #125, Longview, WA 98632-4098 2006-06-05
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Competitor

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City LONGVIEW
Zip Code 75605

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Dataset Information

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.

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