DR. MICHAEL GRAHL (NPI# 1306208921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306208921 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GRAHL |
| Credential | M.D. |
| Practice Address |
401 Matthew Street Emergency Department Marietta OH 45750-8922 |
| Practice Telephone | 7405685669 |
| Mailing Telephone | 7405685669 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 35.135979 | OH | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Park Ave, Minneapolis, MN 554151623 | 6128734093 |
| Street Address |
401 MATTHEW STREET EMERGENCY DEPARTMENT |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-8922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1538622584 | Matthew Tyler Phillips | Student in an Organized Health Care Education/Training Program | 401 Matthew Street, Emergency Department, Marietta, OH 45750-4575 | 2019-04-08 |
| 1174086128 | William Gregory Timmer | Student in an Organized Health Care Education/Training Program | 401 Matthew Street, Emergency Department, Marietta, OH 45750-4575 | 2019-04-08 |
| 1427511476 | Joshua Andrew Leonard | Student in an Organized Health Care Education/Training Program | 401 Matthew Street, Emergency Department, Marietta, OH 45750-4575 | 2019-04-08 |
| 1376006338 | Matt Richard Peck | Student in an Organized Health Care Education/Training Program | 401 Matthew Street, Emergency Department, Marietta, OH 45750-4575 | 2019-04-08 |
| 1245720143 | Zachary Philip Tritsch | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2018-05-16 |
| 1285124586 | Dylan Jay Brown | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2018-05-14 |
| 1093205395 | Cady Noelle Kennedy | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2018-05-14 |
| 1912497264 | Alison Grady | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2018-05-12 |
| 1275086381 | William Trible Gatewood Jr. | Family Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2016-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| 1487995189 | Lynette T Dela Cruz | Physical Therapist | 115 Bartlett Street, Marietta, OH 45750 | 2013-03-06 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477164341 | Mariam Yahaya | Student in an Organized Health Care Education/Training Program | 2655 Ravenoaks Pl, Marietta, GA 30062-5631 | 2020-08-13 |
| 1649897372 | Kyungran Gibson | Student in an Organized Health Care Education/Training Program | 2662 Shadow Bluff Dr Ne, Marietta, GA 30062-2568 | 2020-06-29 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1740819572 | Rudiona Hoxhaj | Student in an Organized Health Care Education/Training Program | 677 Church St Ne Attn: Gme, Marietta, GA 30060-1101 | 2020-04-03 |
| 1912536921 | Rabia Khan | Student in an Organized Health Care Education/Training Program | 77 Church St Ne, Marietta, GA 30060-1907 | 2020-04-02 |
| 1699302737 | Ankit Mathur | Student in an Organized Health Care Education/Training Program | 846 Paces Farm Trl Sw, Marietta, GA 30064-7550 | 2020-03-26 |
| 1114566247 | Shelby Anne Saltsman | Student in an Organized Health Care Education/Training Program | 352 Church St Ne, Marietta, GA 30060-1318 | 2020-01-07 |
| 1518521871 | Taylor Nicole Weintraub | Student in an Organized Health Care Education/Training Program | 1134 Waterford Green Ln, Marietta, GA 30068-2931 | 2019-04-23 |
| 1235692146 | Dakotah Rose Forell | Student in an Organized Health Care Education/Training Program | 667 Church St Ne, Marietta, GA 30060-1101 | 2019-04-08 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
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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.