GARY ROBERT GRAHAM


Address: 2776 Enterprise Rd # 100, Orange City, FL 32763-8316
Phone: 3867741223

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
ME68452 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 379101700 05

Other Providers GARY GRAHAM

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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

Office Location

Street Address 2776 ENTERPRISE RD # 100
City ORANGE CITY
State FL
Zip Code 32763-8316

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City ORANGE CITY
Zip Code 32763

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Dataset Information

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.

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