DR. SUSAN BRANDT GRAHAM (NPI# 1407853872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407853872 |
| Entity Type | Individual |
| Full Name | DR. SUSAN BRANDT GRAHAM |
| Credential | M.D., PH.D. |
| Practice Address |
4705 Montgomery Blvd Ne Ste 102 Albuquerque NM 87109-1246 |
| Practice Telephone | 5058849488 |
| Practice Fax Number | 5058847059 |
| Mailing Telephone | 5058849488 |
| Mailing Fax Number | 5058847059 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
86-237 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649458902 | Susan Graham | Registered Nurse | 6976 Wembley Ct, Hamilton, OH 45011-1111 | 2008-02-08 |
| 1427274976 | Susan Joy Graham | Family Medicine | 815 Northwest St, Building B, Second Floor, Bellevue, OH 44811-1074 | 2007-04-17 |
| 1891872800 | Susan V. Graham | Counselor | 4807 Rosemont Ave, La Crescenta, CA 91214-3046 | 2006-11-01 |
| 1043263296 | Susan R Graham | Advanced Practice Midwife | Highway 191 Hospital Drive, Chinle, AZ 86503 | 2006-05-18 |
| 1003450628 | Susan Elaine Graham | Nurse Practitioner | 2408 E 81st St Ste 900, Tulsa, OK 74137-4283 | 2019-11-06 |
| 1548736044 | Susan Graham | Behavior Technician | 141 N Eagle Creek Dr Ste 100, Lexington, KY 40509-1832 | 2018-10-23 |
| 1760917868 | Susan Graham | Social Worker | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2017-04-26 |
| 1235543703 | Susan Graham | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2014-06-12 |
| 1184994840 | Susan Victoria Graham | Speech-Language Pathologist | 351 Stumpy Ln, Lebanon, TN 37090-5339 | 2012-01-11 |
| 1841571759 | Susan Graham | Pharmacist | 2611 W Park Row Dr, Arlington, TX 76013-2257 | 2011-09-06 |
| Street Address |
4705 MONTGOMERY BLVD NE STE 102 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042958 | Rebecca Ann Archuleta | Midwife | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2018-08-07 |
| 1487166641 | Deanna Sue Marquardt Romine | Registered Nurse | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2017-10-27 |
| 1194278143 | Southwest Medical Associates, Inc. | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2016-07-26 |
| 1902296106 | Melynda Lopez | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2015-01-27 |
| 1629471032 | Women's Pelvic Specialty Care of New Mexico, LLC | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Suite 201, Albuquerque, NM 87109-1226 | 2014-09-29 |
| 1619392172 | Melissa Moore | Registered Nurse | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2014-02-20 |
| 1205272481 | Nicole M Dishong | Registered Nurse | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2013-05-15 |
| 1376884759 | Katheryne Anne Barron | Nurse Practitioner | 4705 Montgomery Blvd Ne, Lmg Gastroenterology Clinic 102, Albuquerque, NM 87109 | 2013-03-08 |
| 1487998639 | Christina C Chaney | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2012-11-11 |
| 1598013716 | Jaya Nova Martin | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2012-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1033234729 | Ronald Kirk Cooper | Obstetrics & Gynecology | 2409 Cutler Ave Ne, Albuquerque, NM 87106-2507 | 2007-03-20 |
| 1114074457 | New Mexico Gynecology Consultants, PC | Obstetrics & Gynecology | 4901 Lang Ave., Ne, Suite 203, Albuquerque, NM 87109-4597 | 2007-01-05 |
| 1134224959 | Amy Garcia | Obstetrics & Gynecology | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2006-09-14 |
| 1841235587 | Frances Mclemore Fisk | Obstetrics & Gynecology | 4161 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 | 2006-06-17 |
| 1801865878 | Shamarie Sais | Obstetrics & Gynecology | 3602 Campus Blvd Ne, Albuquerque, NM 87106-1314 | 2006-03-14 |
| 1891794038 | Steven Anthony Komadina | Obstetrics & Gynecology | 4801 Mcmahon Blvd Nw, #101, Albuquerque, NM 87114-5090 | 2005-07-19 |
| 1982148375 | Shamarie Sais, Md, PC | Obstetrics & Gynecology | 3602 Campus Blvd Ne, Albuquerque, NM 87106-1314 | 2016-12-05 |
| 1427357920 | Bosque Womens Care PC | Obstetrics & Gynecology | 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 | 2011-03-23 |
| 1235377268 | Beverly A. Pucka, Md P.C. | Obstetrics & Gynecology | 8120 Constitution Pl Ne, Suite 220, Albuquerque, NM 87110-7654 | 2009-01-29 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on DR. SUSAN BRANDT GRAHAM.
| 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.