KEVIN GRAHAM (NPI# 1346671765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346671765 |
| Entity Type | Individual |
| Full Name | KEVIN GRAHAM |
| Practice Address |
221 3rd St W Jbsa Randolph TX 78150-4800 |
| Practice Telephone | 2102216144 |
| Mailing Telephone | 2102216144 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE/DOD | NA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245687136 | Kevin Graham | Nurse Practitioner | 13520 Ne 1st Ave, Miami, FL 33161-2718 | 2016-05-20 |
| 1346586971 | Kevin Eugene Graham | Counselor | 117 Charles St, Lumberton, NC 28358-4538 | 2012-12-31 |
| 1316175771 | Kevin Franklin Graham | Hearing Instrument Specialist | 801-b Broadway, Van Buren, AR 72956 | 2009-06-24 |
| 1346653656 | Kevin Alexander Graham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2014-06-04 |
| 1770711988 | Kevin A Graham | Anesthesiology | 800 Rose St, Lexington, KY 40536-0004 | 2009-06-25 |
| 1457559692 | Kevin T Graham | Emergency Medicine | 1264 Weaver Dr, Granville, OH 43023-1257 | 2007-07-10 |
| 1205977386 | Kevin P Graham | Physical Therapist | 9514 4th St Ne, Suite 101, Lake Stevens, WA 98258-1937 | 2007-02-09 |
| 1518918275 | Kevin J Graham | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-05-15 |
| Street Address |
221 3RD ST W |
| City | JBSA RANDOLPH |
| State | TX |
| Zip Code | 78150-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881104875 | Virginia L Frazier | Nurse Practitioner | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2017-10-04 |
| 1750831152 | Lauren Kester | Dietitian, Registered | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2016-10-10 |
| 1386032506 | Kelly Kliewer | Pharmacist | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2014-12-23 |
| 1891033601 | Anh Phoa Anh Nguyen | Physician Assistant | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2013-01-29 |
| 1780920819 | Rachael L Parrish | Dentist | 221 3rd St W, Jbsa Randolph, TX 78150 | 2012-12-18 |
| 1649527508 | Megan Jenifer Graff | Dentist | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2012-08-10 |
| 1518221233 | Rebecca Lorraine Englebretson | Family Medicine | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2012-06-27 |
| 1093005472 | William Chad Roasa | Physician Assistant | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2011-04-19 |
| 1174821771 | Jonathan Paul Kruze | Dentist | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2011-03-05 |
| 1609178995 | Kathy Presper | Nurse Practitioner | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2010-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045833 | Erica Renae Guevara | Physician Assistant | 559 Medial Sq, 221 Third Street West Bldg. 1040, Jbsa-randolph Afb, TX 78150 | 2019-04-05 |
| 1457803868 | Emily Newman | Dietitian, Registered | 221 Third Street West, Bldg. 999 Ste 2, Joint Base San Antonio -randolph, TX 78150 | 2016-11-02 |
| 1922411677 | Amber Drewer | Military Health Care Provider | 3rd Street West Building 1040, Randolph Afb, TX 78150 | 2014-06-10 |
| 1144652975 | Josephine Kimberly Olsen | Family Medicine | 359 Mdos/mdg, Randolph Afb, TX 78150 | 2013-08-02 |
| 1609149681 | Lucky Lusterio | Preventive Medicine | 221 3rd St. W, Randolph Afb, TX 78150 | 2012-02-21 |
| 1417120569 | Joni Hodgson | General Practice | 221 3rd Street West, Jbsa Randolph, TX 78150 | 2008-04-09 |
| 1710095724 | Katherine Justen Adamson | Physician Assistant | 12th Medical Group, 221 3rd Street West, Randolph Air Force Base, TX 78150 | 2006-08-29 |
| 1811950090 | Lidia Stana Ilcus | Internal Medicine | 359 Mdg, 221 Third Street West, Randolph Afb, TX 78150 | 2006-04-10 |
| 1013970672 | David Hamilton | Social Worker | 12mdos/sgohf, Randolph Afb, TX 78150 | 2006-04-06 |
| 1962465526 | Robert Allan Briggs | Physical Therapist | Randolph Afb Clinic, 221 3rd St W, Randolph Afb, TX 78150 | 2006-04-06 |
| Find all providers in zip 78150 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972974061 | Jeffery Rueben | Physician Assistant | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-10-14 |
| 1891033601 | Anh Phoa Anh Nguyen | Physician Assistant | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2013-01-29 |
| 1457634982 | Victoria Palin Wu | Physician Assistant | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 | 2011-09-21 |
| 1912239690 | Lance Arthur Beahm | Physician Assistant | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2010-02-05 |
| 1912110834 | Raymond E Collier | Physician Assistant | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2007-05-07 |
| 1598731382 | Deanne Villarreal Martinez | Physician Assistant | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2006-02-23 |
| 1942291315 | Curtis House | Physician Assistant | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | JBSA RANDOLPH |
| Zip Code | 78150 |
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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.