CHARLES M GRAHAM JR. (NPI# 1417218157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417218157 |
| Entity Type | Individual |
| Full Name | CHARLES M GRAHAM JR. |
| Credential | SA |
| Practice Address |
1069 W Broad St Suite 908 Falls Church VA 22046-4610 |
| Mailing Address |
5119 Prestwick Dr Fairfax VA 22030-4537 |
| Practice Telephone | 5402394852 |
| Mailing Telephone | 5402394852 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225155013 | Charles Alan Graham | Chiropractor | 1300 Ashley Sq, Winston Salem, NC 27103-2919 | 2007-03-25 |
| 1720103716 | Charles M Graham | Chiropractor | 1216 S. W. Us Hwy 40, Blue Springs, MO 64015-4612 | 2007-03-20 |
| 1659407641 | Charles Peter Graham | Chiropractor | 1059 S Us Highway 27, Saint Johns, MI 48879-2437 | 2007-02-26 |
| 1750420618 | Charles Graham | Technician | 4820 Fayetteville Rd, Lumberton, NC 28358-2112 | 2007-02-06 |
| 1134270390 | Charles E. Graham | Ophthalmology | 3435 W Craig Rd Ste A, North Las Vegas, NV 89032-5116 | 2007-01-15 |
| 1669540258 | Charles Eugene Graham | Orthopaedic Surgery | 618 N 8th St, Gunter, TX 75058-2540 | 2006-12-01 |
| 1346313046 | Charles James Graham | Family Medicine | 10 N 600 E, Hyrum, UT 84319-0339 | 2006-11-17 |
| 1396847570 | Charles Ray Graham | Dentist | 600 Airport Rd, Huntsville, AL 35802-1311 | 2006-09-01 |
| 1962487728 | Charles E Graham | Internal Medicine | 6037 La Granada Pmb 1223, Pmb 1223, Rancho Santa Fe, CA 92067-1223 | 2005-12-14 |
| 1043213960 | Charles Dudley Graham | Internal Medicine | 2910 Tricom St, North Charleston, SC 29406-9350 | 2005-05-24 |
| Street Address |
1069 W BROAD ST SUITE 908 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22046-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144409103 | Jennifer R Archibald | Physician Assistant | 1069 W Broad St, Suite 908, Falls Church, VA 22046-4610 | 2007-10-26 |
| 1710329016 | Claudine Patricia Humphrey | Registered Nurse | 1069 W Broad St, Suite 908, Falls Church, VA 22046-4610 | 2013-07-27 |
| 1770828204 | Heidi Michelle Rosa | Registered Nurse | 1069 W Broad St, Suite 908, Falls Church, VA 22046-4610 | 2012-12-10 |
| 1528329109 | Mukesh Chandubhai Patel | Specialist/Technologist, Other | 1069 W Broad St, Suite 908, Falls Church, VA 22046-4610 | 2012-05-31 |
| 1932468410 | Keith Maas | Specialist/Technologist, Other | 1069 W Broad St, Suite 908, Falls Church, VA 22046-4610 | 2012-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735794 | Megan Katherine Hassan | Speech-Language Pathologist | 803 West Broad Street, Suite 100, Falls Church, VA 22046 | 2019-11-25 |
| 1205481173 | Michael William Wirtz | Physical Therapist | 510 South Washington Street, Ste. A, Falls Church, VA 22046 | 2019-08-07 |
| 1629636568 | Meaghan A Souza | Physical Therapist | 510 S Washington Street, Suite A, Falls Church, VA 22046 | 2019-06-05 |
| 1619478963 | Teresa Rosas | Dentist | Blvd Fundadores #8417-21, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-22 |
| 1174022974 | Bio Medical Center | Radiology | 3170 General Ferreira, Colonia Madero Sur, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-07 |
| 1558875385 | M & R Taxi Company, Inc. | Non-emergency Medical Transport (VAN) | 1115 West Broad St., Falls Church, VA 22046 | 2017-12-01 |
| 1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
| 1184140501 | Christopher Grivas | Chiropractor | 510 W Annandale Road, Suite 300, Falls Church, VA 22046 | 2017-08-17 |
| 1831562719 | Strategy Anesthesia Virginia, LLC | Anesthesiology | 502 W Broad Street (route 7), Falls Church, VA 22046 | 2015-11-02 |
| 1851762025 | Edward A Stern | Registered Nurse | 201 N Washington Street, C/o Kaiser Permanente, Falls Church, VA 22046 | 2015-10-14 |
| Find all providers in zip 22046 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710246319 | Romarico Balotro Garcia | Specialist/Technologist, Other | 1069 W Broad St Ste 908, Falls Church, VA 22046-4610 | 2012-05-16 |
| 1073793238 | Kevin Washington | Specialist/Technologist, Other | 3200 Gallows Road, Falls Church, VA 22042 | 2007-11-05 |
| 1497952188 | Marcell Wells | Specialist/Technologist, Other | 8116 Arlington Blvd, Suite 183, Falls Church, VA 22042-1002 | 2007-06-27 |
| 1942405048 | Michael Ouden | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2007-06-19 |
| 1942356761 | Thomas Hegens | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 117, Falls Church, VA 22042-1002 | 2007-01-26 |
| 1164080321 | Robert Reid Nottingham Jr. | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2019-06-03 |
| 1205334687 | Monica Sooby Haas | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2018-01-31 |
| 1992233381 | Frances A Dargan | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2017-05-30 |
| 1942738323 | Darrell Levern Shaw | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2017-05-30 |
| 1720469935 | Javed Momand | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2015-06-12 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22046 |
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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.