KEVIN T GRAHAM (NPI# 1457559692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457559692 |
| Entity Type | Individual |
| Full Name | KEVIN T GRAHAM |
| Credential | M.D. |
| Practice Address |
1264 Weaver Dr Granville OH 43023-1257 |
| Practice Telephone | 2205641950 |
| Practice Fax Number | 2205641951 |
| Mailing Telephone | 2205641950 |
| Mailing Fax Number | 2205641951 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 35.096582 | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 35.096582 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3114105 | 05 |
| 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 |
| 1346671765 | Kevin Graham | Physician Assistant | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2013-12-11 |
| 1770711988 | Kevin A Graham | Anesthesiology | 800 Rose St, Lexington, KY 40536-0004 | 2009-06-25 |
| 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 |
1264 WEAVER DR |
| City | GRANVILLE |
| State | OH |
| Zip Code | 43023-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046541 | Michael D Barth | Family Medicine | 1264 Weaver Dr, Granville, OH 43023-1257 | 2005-07-12 |
| 1891081295 | Aaron J Kibler | Family Medicine | 1264 Weaver Dr, Granville, OH 43023 | 2011-06-23 |
| 1932429776 | Stacey Yi Guan | Emergency Medicine | 1264 Weaver Dr, Granville, OH 43023-1257 | 2010-06-03 |
| 1043244965 | Licking Memorial Professional Corporation | Family Medicine | 1264 Weaver Dr, Granville, OH 43023-1257 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114562543 | Healing Horizons Professional Counseling LLC | Counselor | 927 River Road, Granville, OH 43023 | 2019-11-08 |
| 1376109892 | Kadian Samantha Miracle | Psychologist | 100 West College Street, Whisler Hall, Granville, OH 43023 | 2019-05-10 |
| 1710331715 | Navin Muni | Family Medicine | 1264 Weaver Drive, Granville, OH 43023 | 2016-04-16 |
| 1316335268 | Derek Fry | Specialist/Technologist | 200 Livingston Dr, Granville, OH 43023 | 2014-12-30 |
| 1174880850 | Granville Township Trustees | Ambulance | 500 S. Main Street, Granville, OH 43023 | 2012-04-18 |
| 1700022639 | Mid-ohio Counseling, LLC | Community/Behavioral Health | 905a River Road, Granville, OH 43023 | 2008-12-24 |
| 1578718540 | Perry Franklin Watson IIi | Chiropractor | 119 South Prospect Street, Granville, OH 43023 | 2008-11-18 |
| 1053524611 | Eric Ross Winters | Specialist/Technologist | 200 Livingston Way, Denison University Department of Physical Education, Granville, OH 43023 | 2007-05-08 |
| 1699988659 | Lakeesha Nicole Leonard | Specialist/Technologist | Denison University Physical Education Department, 200 Livingston Dr, Granville, OH 43023 | 2007-05-07 |
| 1447386537 | Christopher D Avery | Dentist | 127 South Prospect St, Granville, OH 43023 | 2007-02-26 |
| Find all providers in zip 43023 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710331715 | Navin Muni | Family Medicine | 1264 Weaver Drive, Granville, OH 43023 | 2016-04-16 |
| 1861733073 | Robert Paul Raker | Family Medicine | 176 Seymour Pl, Granville, OH 43023-1065 | 2013-03-13 |
| 1558697607 | Michael Lynch | Family Medicine | 19 Quaker St, Granville, NY 12832-1523 | 2009-10-26 |
| 1518970847 | Damian W Grivetti | Family Medicine | 309 S. Mccoy, Granville, IL 61326-9333 | 2006-08-15 |
| 1447363585 | Shawn E Bailey | Family Medicine | 309 South Mccoy Street, Granville, IL 61326 | 2006-08-15 |
| 1740227636 | Tracee Laing | Family Medicine | 494 N Granger St, Granville, OH 43023-1327 | 2006-06-01 |
| 1386681104 | Angela Eubanks | Family Medicine | 1945 Newark Granville Rd, Granville, OH 43023-9169 | 2006-06-01 |
| 1306803697 | David O. Parker | Family Medicine | 2790 Columbus Rd, Granville, OH 43023-1252 | 2006-04-28 |
| 1326046541 | Michael D Barth | Family Medicine | 1264 Weaver Dr, Granville, OH 43023-1257 | 2005-07-12 |
| 1659378115 | Patrick Joseph Scarpitti | Family Medicine | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-9135 | 2005-06-30 |
| Find all providers in GRANVILLE | ||||
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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.