DR. MARK G. GRAHAM (NPI# 1245258482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245258482 |
| Entity Type | Individual |
| Full Name | DR. MARK G. GRAHAM |
| Credential | M.D. |
| Practice Address |
2301 S Broad St Suite 205 Philadelphia PA 19148-3542 |
| Practice Telephone | 2155518660 |
| Practice Fax Number | 2155519247 |
| Mailing Telephone | 2155518660 |
| Mailing Fax Number | 2155519247 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD-022223-E | PA | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
MD-022223-E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000810360 | 05 | |
| NJ | 7569106 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598265134 | Mark Graham | Behavior Technician | 1520 5th Ct, Vero Beach, FL 32960-5828 | 2018-02-20 |
| 1841798469 | Mark D Graham | Marriage & Family Therapist | 23044 Enadia Way, West Hills, CA 91307-2208 | 2018-01-29 |
| 1417380973 | Mark Alan Graham | Pharmacist | 4329 N State St, Ste #10, Jackson, MS 39206-5261 | 2013-08-19 |
| 1821265992 | Mark Laron Graham | Physical Therapy Assistant | 5617 W Silverleaf Ln, Brown Deer, WI 53223-1656 | 2008-05-08 |
| 1306461751 | Mark Edward Graham | Pharmacist | 5040 Ritter Rd, Mechanicsburg, PA 17055-4879 | 2020-06-11 |
| 1922449727 | Mark Gary Graham | Nurse Anesthetist, Certified Registered | 4901 Grande Dr, Pensacola, FL 32504-5935 | 2013-07-10 |
| 1578860508 | Mark A Graham | Counselor | 900 E Main St, Norman, OK 73071-5305 | 2011-02-28 |
| 1881876258 | Mark F Graham | Counselor | 100 South Tyler St., Suite 7-a, Covington, LA 70433 | 2007-11-28 |
| 1003989146 | Mark E Graham | Pharmacist | 818 W Havens St, Mitchell, SD 57301-3830 | 2006-11-16 |
| 1023115896 | Mark Alan Graham | Dentist | 520 La Gonda Way, Suite 102, Danville, CA 94526-1741 | 2006-09-20 |
| Street Address |
2301 S BROAD ST SUITE 205 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124621 | Deborah A Serba | Nurse Anesthetist, Certified Registered | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2005-06-20 |
| 1215584859 | Mary Ann Heller | Nurse Practitioner | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2019-08-19 |
| 1093279499 | Katelyn Alice Jesukiewicz | Nurse Practitioner | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2019-01-30 |
| 1972088292 | Lindsey Anne Wolf | Registered Nurse | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2018-10-02 |
| 1346732005 | Candace Cantwell-foy | Registered Nurse | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2018-05-30 |
| 1386199982 | Marisa A. Ciuppa | Nurse Anesthetist, Certified Registered | 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 | 2016-08-24 |
| 1871957324 | Tejal Ulhas Naik | Internal Medicine | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-04-11 |
| 1902267230 | Methodist Associates In Healthcare, Inc. | Psychiatry & Neurology | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-03-15 |
| 1669831996 | Jeffex, Inc. | Pharmacy | 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 | 2016-02-15 |
| 1033575352 | Methodist Associates In Healthcare, Inc. | Family Medicine | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674407 | Jun Song | Internal Medicine | 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 | 2020-06-24 |
| 1932725264 | Aaron Leo Yazdian | Internal Medicine | 1335 South St Apt A, Philadelphia, PA 19147-1841 | 2020-06-23 |
| 1144846387 | Rishabh Khatri | Internal Medicine | 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 | 2020-06-23 |
| 1215564521 | Insight Home Physicians, PC | Internal Medicine | 7806 Cresheim Rd, Philadelphia, PA 19118-4003 | 2020-03-25 |
| 1457995938 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 | 2019-10-29 |
| 1205479904 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St 8fl, Philadelphia, PA 19107-1507 | 2019-10-25 |
| 1700439056 | Alvaro Goncalves Mendes Neto | Internal Medicine | 5501 Old York Rd # 363, Philadelphia, PA 19141-3018 | 2019-07-16 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1114587672 | Stephen Michael Pokrywa | Internal Medicine | Drexel University Com, Internal Medicine Residency, 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102-1178 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
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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.