THOMAS M GRAHAM (NPI# 1407927601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407927601 |
| Entity Type | Individual |
| Full Name | THOMAS M GRAHAM |
| Credential | PA-C |
| Practice Address |
1903 E Fir Ave Suite 101 Fresno CA 93720-3862 |
| Practice Telephone | 5594411777 |
| Practice Fax Number | 5594410726 |
| Mailing Telephone | 5594411777 |
| Mailing Fax Number | 5594410726 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2014-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA14840 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA14840 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0PA148400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295799666 | Thomas J. Graham | Orthopaedic Surgery | 530 1st Ave Ste 8u, New York, NY 10016 | 2006-04-13 |
| 1184617458 | Thomas G Graham Jr. | Pharmacist | P.o. Drawer B, 111 South Second St, Baldwyn, MS 38824 | 2005-08-23 |
| 1508860990 | Thomas Hild Graham | Psychiatry & Neurology | 11 Industrial Blvd Ste 204, Paoli, PA 19301 | 2005-06-13 |
| 1548801640 | Thomas Edward Graham | Social Worker | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2019-10-01 |
| 1326499278 | Thomas Graham | Physical Therapist | 5005 N Piedras St, El Paso, TX 79920-5002 | 2016-06-22 |
| 1982951752 | Thomas Earl Graham | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2012-08-10 |
| 1215243746 | Thomas Patrick Graham | Dentist | 1651 N Cedar Crest Blvd Ste 209, Allentown, PA 18104-2316 | 2010-08-21 |
| 1417184136 | Thomas Aaron Graham | Dermatology | 7652 Ashley Park Ct, Suite 305, Orlando, FL 32835-6199 | 2009-06-20 |
| 1821185596 | Thomas Brent Graham | Pediatrics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-06 |
| 1598857914 | Thomas Graham | Pediatrics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| Street Address |
1903 E FIR AVE SUITE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043399090 | First Choice Physical Therapy &rehab, Inc | Clinic/Center | 1903 E Fir Ave, Suite 102, Fresno, CA 93720-3842 | 2006-11-02 |
| 1902270127 | Courtney Proen | Physical Therapist | 1903 E Fir Ave, #102, Fresno, CA 93720-3862 | 2015-11-26 |
| 1831430016 | Glenn Miracle | Physical Therapist | 1903 E Fir Ave, Ste. 102, Fresno, CA 93720-3862 | 2013-03-12 |
| 1366687816 | Crume Physical Therapy, Inc | Physical Therapist | 1903 E Fir Ave, Suite 102, Fresno, CA 93720-3862 | 2008-12-12 |
| 1902091358 | First Choice Physical Therapy | Clinic/Center | 1903 E Fir Ave, Suite 102, Fresno, CA 93720-3862 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720741 | Luis Rodriguez Gonzalez | Physician Assistant | 4730 Brazos Point Ln, Fresno, TX 77545-7968 | 2017-10-07 |
| 1407241300 | Gwendolyn Champion | Physician Assistant | 4026 E Teal Estates Cir, Fresno, TX 77545 | 2015-03-30 |
| 1740326891 | Michael J Sinopoli | Physician Assistant | 4910 E Clinton Way Ste 101, Fresno, CA 93727-1560 | 2007-01-29 |
| 1881212397 | Veshudha Kang | Physician Assistant | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-10 |
| 1154941011 | Kylie Wermund | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-04-21 |
| 1326604216 | Kelsey Tallman | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2019-05-15 |
| 1306402532 | Justin Frances Gagnon | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2019-05-13 |
| 1821532292 | Tran Luong | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2016-12-05 |
| 1487003414 | Maribel Manriquez | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2016-06-09 |
| 1558739052 | Kathryn L. Hanks | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2015-09-14 |
| Find all providers in FRESNO | ||||
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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.