DR. CASSANDRA NOEL GRAYBILL (NPI# 1497937783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497937783 |
| Entity Type | Individual |
| Full Name | DR. CASSANDRA NOEL GRAYBILL |
| Credential | M.D. |
| Practice Address |
3535 Pentagon Blvd Ste 220 Beavercreek OH 45431-1705 |
| Mailing Address |
1 Prestige Pl Ste 550 Miamisburg OH 45342-6115 |
| Practice Telephone | 9374297350 |
| Practice Fax Number | 9374312623 |
| Mailing Telephone | 9377621310 |
| Mailing Fax Number | 9375228068 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 35.140441 | OH | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 60266839 | WA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 129138 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0415853 | 05 | |
| OH | MEDICARE ID | H817380 | 01 |
| Street Address |
3535 PENTAGON BLVD STE 220 |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071520 | Jessica Lynn Ullery | Nurse Practitioner | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 | 2019-06-10 |
| 1033605431 | Whitney Nicole Clark | Advanced Practice Midwife | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 | 2018-07-09 |
| 1871030262 | Kristie Blake | Nurse Practitioner | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 | 2017-01-24 |
| 1710122130 | Jennifer A Brannon | Nurse Practitioner | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 | 2008-12-15 |
| 1942469424 | Rhonda Jane Conley | Registered Nurse | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801882741 | James Vincent Tobin | Obstetrics & Gynecology | 2161 Marchfield Way, Beavercreek, OH 45434-8050 | 2005-09-26 |
| 1801258397 | Keith Michael Reisinger-kindle | Obstetrics & Gynecology | 725 University Blvd, Beavercreek, OH 45324-2640 | 2016-03-23 |
| 1801163324 | Lindsay Nicole Wardle | Obstetrics & Gynecology | 3535 Pentagon Blvd, Suite 220, Beavercreek, OH 45431-1705 | 2011-11-29 |
| 1083990394 | Greene Memorial Hospital Services, Inc | Obstetrics & Gynecology | 3535 Pentagon Blvd, Suite 220, Beavercreek, OH 45431-1705 | 2011-11-01 |
| 1417058314 | Oak Creek Obgyn | Obstetrics & Gynecology | 2510 Commons Blvd, Suite 270, Beavercreek, OH 45431-3820 | 2006-09-26 |
| 1114988540 | Michael L Clark | Obstetrics & Gynecology | 3535 Pentagon Blvd, Suite 220, Beavercreek, OH 45431-1705 | 2006-03-28 |
| 1386603611 | Steven Warren Crawford | Obstetrics & Gynecology | 3535 Pentagon Blvd, Suite 220, Beavercreek, OH 45431-1705 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1366086761 | Women's Integrative Medicine Obgyn LLC | Obstetrics & Gynecology | 477 Cooper Rd Ste 320, Westerville, OH 43081-6045 | 2019-10-30 |
| 1700437266 | Obstetrics and Gynecology South, Inc | Obstetrics & Gynecology | 700 S Stanfield Rd Ste B, Troy, OH 45373-2569 | 2019-09-26 |
| 1407414386 | Ronald James Thompson Md | Obstetrics & Gynecology | 2200 Victory Pkwy Apt 1602, Cincinnati, OH 45206-2824 | 2019-06-05 |
| 1043876394 | Rachel K Booth | Obstetrics & Gynecology | 128 E Apple St Ste 3800d, Dayton, OH 45409-2902 | 2019-05-13 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1992204432 | Catherine Nowak | Obstetrics & Gynecology | 1611 S Green Rd Ste 238, South Euclid, OH 44121-4123 | 2018-02-11 |
| 1649786963 | Columbus Obstetric and Gynecology Center | Obstetrics & Gynecology | 340 E Town St Ste 8900, Columbus, OH 43215-4646 | 2017-12-22 |
| 1538673090 | Healthy Beginnings Inc | Obstetrics & Gynecology | 1230 W Kemper Rd, Cincinnati, OH 45240-1618 | 2017-11-20 |
| 1568989762 | Women's Health for Life, Inc. | Obstetrics & Gynecology | 1220 E Elm St Ste 204, Lima, OH 45804-2898 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
Please comment or provide details below to improve the information on DR. CASSANDRA NOEL GRAYBILL.
| 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.