GARY ROBERT GRAHAM (NPI# 1538160692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538160692 |
Entity Type | Individual |
Full Name | GARY ROBERT GRAHAM |
Credential | M.D. |
Practice Address |
2776 Enterprise Rd # 100 Orange City FL 32763-8316 |
Practice Telephone | 3867741223 |
Practice Fax Number | 3867744658 |
Mailing Telephone | 3867741223 |
Mailing Fax Number | 3867744658 |
Enumeration Date | 2005-08-10 |
Last Update Date | 2017-12-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME68452 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 379101700 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336532175 | Gary Graham Jr. | Registered Nurse | 13045 228th St, Laurelton, NY 11413-1742 | 2015-03-17 |
1700274586 | Gary Lynn Graham Jr. | Physical Therapy Assistant | 760 Canyon Oaks Dr, Apt C, Oakland, CA 94605-3869 | 2015-01-02 |
1992129704 | Gary Lee Graham | Nurse Practitioner | 14799 Dix Toledo Rd # 200, Southgate, MI 48195 | 2014-02-13 |
1992848592 | Gary A. Graham | Chiropractor | 151 Route 27, Raymond, NH 03077-1217 | 2007-02-14 |
1477567170 | Gary R Graham | Family Medicine | 4605 Belford Cir, Broomfield, CO 80023-8110 | 2006-07-28 |
1710970264 | Gary C Graham | Ophthalmology | 517 W 23rd St, Merced, CA 95340-3724 | 2005-08-30 |
1356508287 | Gary Peter Graham | Surgery | 1305 W Jefferson St Ste 120, Waxahachie, TX 75165-2251 | 2008-05-19 |
1518057421 | Gary Clayton Graham | Social Worker | 2603 W Wackerly St, Midland, MI 48640 | 2006-10-13 |
1811910359 | Gary F Graham | Family Medicine | 210 W 300 N, Roosevelt, UT 84066-2336 | 2006-07-25 |
1801871702 | Gary Michael Graham | Nurse Anesthetist, Certified Registered | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-13 |
Street Address |
2776 ENTERPRISE RD # 100 |
City | ORANGE CITY |
State | FL |
Zip Code | 32763-8316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063750933 | Bushra Ajaz | Internal Medicine | 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | 2013-01-28 |
1902868789 | Roderick Ropheo Lazo Paras | Internal Medicine | 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | 2006-04-05 |
1376528612 | Alan R Forbes | Radiology | 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | 2005-12-09 |
1336132844 | Bhanu Visvalingam | Internal Medicine | 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | 2005-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
Find all providers in zip 32763 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699775866 | Noushin Izadifar Hart | Radiology | 2776 Enterprise Rd, Suite 100, Orange City, FL 32763-8316 | 2005-07-28 |
1801085162 | Florida Oncology Network Pa | Radiology | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2007-10-23 |
1376528612 | Alan R Forbes | Radiology | 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | 2005-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
Find all providers with the same taxonomy |
City | ORANGE CITY |
Zip Code | 32763 |
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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.