DR. STANLEY TANNER GRAHAM (NPI# 1326230921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326230921 |
| Entity Type | Individual |
| Full Name | DR. STANLEY TANNER GRAHAM |
| Credential | M.D. |
| Practice Address |
2240 Adams Ave Ogden UT 84401-1511 |
| Practice Telephone | 8013935355 |
| Practice Fax Number | 8013944609 |
| Mailing Telephone | 8013935355 |
| Mailing Fax Number | 8013944609 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 66740341205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184798928 | Stanley R Graham | Psychologist | 50 W 23rd St, 9th Floor, New York, NY 10010-5205 | 2006-11-20 |
| 1952330557 | Stanley Keith Graham | Internal Medicine | 506 4th St, La Grande, OR 97850-1906 | 2006-07-03 |
| Street Address |
2240 ADAMS AVE |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660864 | Angela Epstein | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2005-06-22 |
| 1376108381 | Vanessa Jones | Nurse Practitioner | 2240 Adams Ave, Ogden, UT 84401-1511 | 2019-05-06 |
| 1437713450 | Brock D Rose | Dentist | 2240 Adams Ave, Ogden, UT 84401-1511 | 2019-04-25 |
| 1104365113 | Derek Petersen | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2017-02-23 |
| 1932650199 | Angeleena Harrison | Pharmacist | 2240 Adams Ave, Ogden, UT 84401-1511 | 2016-10-21 |
| 1023465564 | Heather D Larson | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2016-05-13 |
| 1346619285 | Amanda Gougler | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2015-09-22 |
| 1164825618 | Kathryn Evans | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2014-09-29 |
| 1427468248 | Jessica Griffin | Pharmacist | 2240 Adams Ave, Ogden, UT 84401-1511 | 2014-05-01 |
| 1679997779 | Joshua Tew | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| 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 |
|---|---|---|---|---|
| 1710366299 | Elise Brinson Fazio | Family Medicine | 4403 Harrison Blvd Ste 3630, Ogden, UT 84403-3287 | 2015-05-29 |
| 1689012080 | Dawn Marie Pruett | Family Medicine | 4782 Oxford Dr, Ogden, UT 84403-4253 | 2013-06-06 |
| 1275865388 | Nameer T Qader, Md PC | Family Medicine | 5495 S 500 E Ste 100, Ogden, UT 84405-7422 | 2010-02-01 |
| 1316122427 | Joseph W. Nelson | Family Medicine | 2265 Fillmore Ave, Ogden, UT 84401-2136 | 2008-01-08 |
| 1902940323 | Caleb Daniel Glawe | Family Medicine | 320 W Walnut St, Ogden, IA 50212-3060 | 2007-02-18 |
| 1134293772 | Robert L Adams | Family Medicine | 1355 Hinkley Dr, Ogden, UT 84401-3376 | 2006-11-17 |
| 1376613141 | Richard Charles Arbogast | Family Medicine | 269 W 3300s, Ogden, UT 84401 | 2006-11-09 |
| 1598861999 | Gary F Holland Md PC | Family Medicine | 5742 Adams Ave Pkwy, Ogden, UT 84405-7157 | 2006-09-15 |
| 1275509176 | Robert Nelson Bertoldo | Family Medicine | 4401 Harrison Blvd Ste 1885, Ogden, UT 84403-3195 | 2006-02-28 |
| 1669467544 | James Aaron Bledsoe | Family Medicine | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2005-09-15 |
| Find all providers in OGDEN | ||||
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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.