ERIC KEVIN GRAHAM (NPI# 1457966913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457966913 |
| Entity Type | Individual |
| Full Name | ERIC KEVIN GRAHAM |
| Credential | PA-C |
| Practice Address |
3801 William D Tate Ave # 800a Grapevine TX 76051-8755 |
| Mailing Address |
8173 Midtown Blvd Apt 3312 Dallas TX 75231-4493 |
| Practice Telephone | 8174888998 |
| Mailing Telephone | 9723221757 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS PHYSICIAN ASSISTANT BOARD | PA13678 | 01 |
| NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | 1172707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639397383 | Eric Duffey Graham | Surgery | 400 Hospital Dr Ste 104, Corsicana, TX 75110-2489 | 2007-04-20 |
| 1720120462 | Eric Sean Graham | Family Medicine | 4501 W Deyoung St, Suite 107b, Marion, IL 62959-6360 | 2007-02-12 |
| 1558462218 | Eric J Graham | Specialist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2006-09-26 |
| 1073538781 | Eric Albert Graham | Dentist | 336 E Main St, Ligonier, PA 15658-1418 | 2006-07-13 |
| 1124057500 | Eric M Graham | Pharmacist | 311 N Grand St, Schoolcraft, MI 49087-5110 | 2006-06-30 |
| 1689069908 | Eric William Graham | Student in an Organized Health Care Education/Training Program | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2015-04-02 |
| 1033479548 | Eric Jove Graham | Emergency Medicine | 155 N Fresno St, Attn: Emergency Medicine, Fresno, CA 93701-2302 | 2012-05-18 |
| 1275751182 | Eric Brian Graham | Physical Therapist | 3727 Friendsville Rd, Wooster, OH 44691-7127 | 2007-04-23 |
| 1124136098 | Eric Matthew Graham | Pediatrics | 171 Ashley Ave, Charleston, SC 29425 | 2006-08-29 |
| Street Address |
3801 WILLIAM D TATE AVE # 800A |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-8755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770777351 | Shawn Reed | Counselor | 3801 William D Tate Ave # 800a, Grapevine, TX 76051-8755 | 2007-08-28 |
| 1215398623 | Rebecca Perthel | Physician Assistant | 3801 William D Tate Ave # 800a, Grapevine, TX 76051-8755 | 2016-03-11 |
| 1154606929 | Debora Jean Simpson | Counselor | 3801 William D Tate Ave # 800a, Grapevine, TX 76051-8755 | 2011-10-12 |
| 1851610232 | Jeffrey Duane Ross | Counselor | 3801 William D Tate Ave # 800a, Grapevine, TX 76051-8755 | 2010-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718321 | Cameron Taylor Smith | Physician Assistant | 951 Turner Rd Apt 1018, Grapevine, TX 76051-7219 | 2020-04-06 |
| 1174022248 | Maxine Zarbinian | Physician Assistant | 1900 Enchanted Way Ste 100, Grapevine, TX 76051-1022 | 2018-02-05 |
| 1225546328 | Jessica Ann Jensen | Physician Assistant | 5301 William D Tate Ave Unit 100, Grapevine, TX 76051-7357 | 2018-01-11 |
| 1225545940 | Dara Elizabeth Comer | Physician Assistant | 1120 S Main St # 100, Grapevine, TX 76051-5543 | 2018-01-03 |
| 1912414624 | Marissa Blaire Spencer | Physician Assistant | 1600 W Northwest Hwy Ste 100, Grapevine, TX 76051-8131 | 2018-01-03 |
| 1770844698 | Craig E Zahn | Physician Assistant | 3601 Grapevine Mills Pkwy, Grapevine, TX 76051-1975 | 2012-06-07 |
| 1831493659 | Joanna I. Yamoah | Physician Assistant | 2020 W State Highway 114 Ste 110, Grapevine, TX 76051-8648 | 2011-01-09 |
| 1124330816 | Alicia Marie Stem | Physician Assistant | 2020 W State Highway 114 Ste 200, Grapevine, TX 76051-8648 | 2010-07-09 |
| 1104919190 | Tamisha Renee Piper | Physician Assistant | 3801 William D Tate Ave Ste 840-a, Grapevine, TX 76051-8755 | 2006-10-02 |
| 1407831100 | Andrea Wise Rodriguez | Physician Assistant | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2005-12-14 |
| Find all providers in GRAPEVINE | ||||
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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.