DR. IAN R GRAHAM (NPI# 1528084464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528084464 |
| Entity Type | Individual |
| Full Name | DR. IAN R GRAHAM |
| Credential | M.D. |
| Practice Address |
Henry County Medical Center 301 Tyson Avenue Paris TN 38424 |
| Mailing Address |
Po Box 2153 Dept 30755 Birmingham AL 35287-9283 |
| Practice Telephone | 7316448535 |
| Practice Fax Number | 7316429588 |
| Mailing Telephone | 3142385260 |
| Mailing Fax Number | 3148211833 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036107429 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2002015742 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205942303 | 05 | |
| RAILROAD MEDICARE NUMBER | 300133434 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4750 Mexico Rd, Saint Peters, MO 633761668 | 6364984555 | 6364982555 |
| Street Address |
HENRY COUNTY MEDICAL CENTER 301 TYSON AVENUE |
| City | PARIS |
| State | TN |
| Zip Code | 38424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1295334910 | Breck Frye | Supports Brokerage | 220 Owenwood Pl, Paris, TN 38242-5159 | 2020-10-23 |
| 1538766050 | Evangelina Salas | Licensed Vocational Nurse | 450 York St, Paris, TX 75460-7643 | 2020-10-07 |
| 1366049728 | Stacie Renee Wheeler | Registered Nurse | 2385 Crescent Dr, Paris, TX 75460-3246 | 2020-10-07 |
| 1861099087 | Sterling Health Solutions Inc | Clinic/Center | 367 Bethlehem Rd, Paris, KY 40361-2493 | 2020-10-01 |
| 1710584925 | Sterling Health Solutions Inc | Clinic/Center | 3339 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1255938460 | Sterling Health Solutions Inc | Clinic/Center | 3341 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1356958581 | Teresa Drag | Specialist/Technologist | 512 Paris Hill Rd, Paris, ME 04271 | 2020-10-01 |
| 1225645500 | Tammy Lynea Thomas | Custodial Care Facility | 14076 Baymont Dr Ne, Paris, OH 44669-9657 | 2020-09-30 |
| 1326655705 | Jennifer Nicole Jackson | Physical Therapy Assistant | 2540 Ridgeview Rd, Paris, TX 75460-3321 | 2020-09-29 |
| Find all providers in PARIS | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548295140 | Digital Mammography of Ne Texas, Ltd | Radiology | 3170 Clarksville St, Paris, TX 75460-8015 | 2006-07-11 |
| 1063445732 | Sridhar S. Iyengar | Radiology | 820 Clarksville St., Paris, TX 75460 | 2006-07-08 |
| 1518962745 | Richard Randall Ozmun Jr. | Radiology | 3015 Ne Loop 286, Paris, TX 75460-3433 | 2005-06-15 |
| 1386954584 | Ina Radtke | Radiology | 300 Hospital Cir, Suite 1031, Paris, TN 38242-4504 | 2010-10-21 |
| 1386826550 | Worldwide Imaging Technologies, Pa | Radiology | 820 Clarksville St, Paris, TX 75460-6027 | 2007-11-29 |
| 1679696793 | Graham Lee Roberts | Radiology | 301 Tyson Ave, Paris, TN 38242-4544 | 2007-04-06 |
| 1255445367 | Stephen Robert Mitchell | Radiology | 300 Hospital Drive, Paris, TN 38242-4504 | 2006-08-18 |
| 1396859419 | Radiology & Imaging Associates Inc | Radiology | 300 Hospital Cir, Paris, TN 38242-4504 | 2006-08-18 |
| 1154341519 | Essent Prmc Lp | Radiology | 820 Clarksville St, Paris, TX 75460-6027 | 2006-07-20 |
| 1699791715 | Magnetic Imaging of Paris Ltd Ptr | Radiology | 3015 Ne Loop 286, Paris, TX 75460 | 2006-07-14 |
| Find all providers in PARIS | ||||
Please comment or provide details below to improve the information on DR. IAN R GRAHAM.
| 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.