DR. HOMER DEVON GRAHAM III (NPI# 1275591877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275591877 |
Entity Type | Individual |
Full Name | DR. HOMER DEVON GRAHAM III |
Credential | MD |
Practice Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
Practice Telephone | 5048424000 |
Mailing Telephone | 5048424000 |
Enumeration Date | 2006-05-03 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD.017680 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1900320 | 05 |
Street Address |
1514 JEFFERSON HWY |
City | NEW ORLEANS |
State | LA |
Zip Code | 70121-2429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053314419 | Kirt Joseph Talamo | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2005-05-31 |
1902406481 | Katelynn Templet | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-26 |
1023617552 | Emily Kate Durham Arceneaux | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-26 |
1285232629 | Sunni J Primeaux | Psychologist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-16 |
1417554965 | Jillian E Pringle | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-07 |
1972110278 | Kaitlyn M Reine | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-30 |
1811504657 | William L Rasmussen | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-25 |
1376157545 | Justin Carreras | Psychologist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-03 |
1114531852 | Rachel Rovira | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-01 |
1578174686 | Tamara Lafont | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-08-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437772191 | Carlos Andres Cevallos | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2020-05-28 |
1497375257 | Vipin Varghese | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Bh 629, New Orleans, LA 70121 | 2020-04-22 |
1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
1295213494 | Shima Abdulhameed A Aziz | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Ochsner Clinic Foundation, New Orleans, LA 70121 | 2018-07-31 |
1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
1396240909 | Jasmine Kaur Bahd | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Highway, Academic Center 1st Floor, New Orleans, LA 70121 | 2018-03-26 |
1649774480 | William Shamus Rohn | Student in an Organized Health Care Education/Training Program | 137 Jules Ave, Jefferson, LA 70121 | 2018-03-19 |
1295262665 | Uday Shanker Nadimpally | Student in an Organized Health Care Education/Training Program | Ochsner Clinic Foundation, 1514, Jefferson Hwy, New Orleans, LA 70121 | 2017-05-17 |
1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
Find all providers in zip 70121 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538312848 | Robert Glynn Peden | Otolaryngology | 533 Bolivar St, Suite 566, New Orleans, LA 70112-1349 | 2008-10-30 |
1306004460 | Rizwan Aslam | Otolaryngology | 1430 Tulane Ave, Sl-59, New Orleans, LA 70112-2632 | 2008-05-27 |
1003080201 | Parker Anthony Velargo | Otolaryngology | 2633 Napoleon Ave, Ste: 920, New Orleans, LA 70115-6357 | 2008-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619405404 | Pennington Facial Plastics, LLC | Otolaryngology | 345 Drexel Dr, Shreveport, LA 71106-2305 | 2017-05-24 |
1225377856 | James J Lanasa Jr Md Pmc | Otolaryngology | 2223 Quail Run Dr., Ste E, Baton Rouge, LA 70808 | 2013-02-01 |
1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
1598891806 | David Malcom Doan | Otolaryngology | 15814 Professional Plaza, Hammond, LA 70403-1453 | 2007-02-23 |
1952480634 | Ruth Marianne Owens | Otolaryngology | 3900 Veterans Memorial Blvd Ste 200, Metairie, LA 70002-5634 | 2006-11-03 |
1497709307 | Harold G Bienvenu IIi | Otolaryngology | 711 S Ryan St, Ste # 100, Lake Charles, LA 70601-5785 | 2006-05-22 |
1477502474 | Stephen Eric Metzinger | Otolaryngology | 3223 8th St, Suite 200, Metairie, LA 70002-1623 | 2006-05-08 |
1053722785 | Khoobehi & Associates, LLC | Otolaryngology | 3901 Veterans Memorial Blvd, Metairie, LA 70002-5602 | 2014-05-15 |
1134411507 | Lindsey Alexander Pennington | Otolaryngology | 1501 Kings Hwy, Otolaryngology, Shreveport, LA 71103-4228 | 2011-05-04 |
1255549101 | Sean Richard Weiss | Otolaryngology | 2201 Veterans Memorial Blvd, Suite 408, Metairie, LA 70002-6323 | 2007-05-21 |
Find all providers with the same taxonomy |
City | NEW ORLEANS |
Zip Code | 70121 |
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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.