JACK GREGORY GRAHAM


Address: 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107-4206
Phone: 6107037396

JACK GREGORY GRAHAM (NPI# 1447713920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447713920
Entity Type Individual
Full Name JACK GREGORY GRAHAM
Practice Address 925 Chestnut Street
5th Floor
Philadelphia
PA 19107-4206
Practice Telephone 6107037396
Mailing Telephone 6107037396
Enumeration Date 2019-04-10
Last Update Date 2019-04-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JACK GRAHAM

NPI Name Taxonomy Address Enumeration
1306406863 Jack Graham Student in an Organized Health Care Education/Training Program 8401 Market Street, Department of Medical Education, Boardman, OH 44512 2019-06-17
1205801347 Jack M Graham Obstetrics & Gynecology 1600 W College St, Grapevine, TX 76051-2100 2006-02-22

Office Location

Street Address 925 CHESTNUT STREET
5TH FLOOR
City PHILADELPHIA
State PA
Zip Code 19107-4206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972508539 Ira S Cohen Internal Medicine 925 Chestnut Street, Mezzanine Floor - Jefferson Heart Institute, Philadelphia, PA 19107-4201 2005-06-20
1891269536 Kathryn Kirk Nurse Practitioner 925 Chestnut Street, Mezzanine, Philadelphia, PA 19107 2019-01-16
1790183945 Katelyn Clancy Nurse Practitioner 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107 2014-12-19
1043640592 Alexandra Deanne Costlow Audiologist-Hearing Aid Fitter 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107-4201 2013-11-20
1669739785 Larissa Sweeny Otolaryngology 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107 2012-04-13
1285942524 Lisa J Kearns Nurse Practitioner 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107-4216 2010-09-21
1710193982 Tiffany Perez Avery Internal Medicine 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107 2007-05-15
1679684476 Frederick M Fellin Internal Medicine 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107-5109 2006-08-31
1013028729 Joseph N Tropea Internal Medicine 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107-5109 2006-08-31
1528089745 Behzad B. Pavri Internal Medicine 925 Chestnut Street, Mezzanine Floor, Philadelphia, PA 19107-4216 2006-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
Find all providers in zip 19107

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1891395828 Roopali Mahajan Student in an Organized Health Care Education/Training Program 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 2020-10-28
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1477166056 Tiffany Shanay Canady Student in an Organized Health Care Education/Training Program 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 2020-08-25
1093325599 Taylor Ann Hall Student in an Organized Health Care Education/Training Program 403 E Evergreen Ave, Philadelphia, PA 19118-2826 2020-08-09
1093324766 Alex J Rodriguez Student in an Organized Health Care Education/Training Program 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 2020-07-28
1396361796 Hagar Mahmoud Student in an Organized Health Care Education/Training Program 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 2020-06-22
1801412416 Vishak Hari Kumar Student in an Organized Health Care Education/Training Program 2601 Holme Ave., Philadelphia, PA 19152 2020-06-19
1386266138 Ogan Kumova Student in an Organized Health Care Education/Training Program 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 2020-05-15
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
Find all providers in PHILADELPHIA

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19107

Improve Information

Please comment or provide details below to improve the information on JACK GREGORY GRAHAM.

Dataset Information

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.

Trending Searches