DEBRA A. GRAHAM (NPI# 1548261381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548261381 |
| Entity Type | Individual |
| Full Name | DEBRA A. GRAHAM |
| Credential | M.D. |
| Practice Address |
3585 Broadway St North Bend OR 97459-1251 |
| Mailing Address |
3585 Broadway Ave North Bend OR 97459-1251 |
| Practice Telephone | 5417562584 |
| Practice Fax Number | 5417565783 |
| Mailing Telephone | 5417562584 |
| Mailing Fax Number | 5417565783 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD20364 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BG3461059 | 01 | |
| UPIN | G30815 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558784561 | Debra Graham | Physical Therapy Assistant | 38 Stockton Dr, Middletown, RI 02842-4823 | 2014-01-27 |
| 1902106602 | Debra E Graham | Registered Nurse | 391 W Herndon St, Hernando, FL 34442-5118 | 2010-10-27 |
| 1306913413 | Debra Nadine Graham | Massage Therapist | 296 Avenue A, Turners Falls, MA 01376 | 2006-11-30 |
| 1790757623 | Debra Jeanne Graham | Registered Nurse | 4537 College Ave, San Diego, CA 92115-4010 | 2006-02-03 |
| 1639469414 | Debra Lynn Graham | Physical Therapist | 105 Casey Rd, East Amherst, NY 14051-2224 | 2011-04-13 |
| 1730200825 | Debra Lawson Graham | Registered Nurse | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2007-04-03 |
| Street Address |
3585 BROADWAY ST |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736023 | John T. Flaxel | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2005-08-02 |
| 1518038058 | Bay Eye Clinic P.C. | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2006-11-13 |
| 1356342950 | Jane Gilbert | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2005-08-03 |
| 1437150265 | Jon Kintner | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2005-08-02 |
| 1649271487 | Dennis E. Ottemiller | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598184525 | Steven Tersigni | Ophthalmology | 66602 Swallow Rd, North Bend, OR 97459-8277 | 2014-04-07 |
| 1295736023 | John T. Flaxel | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2005-08-02 |
| 1356966360 | Tersigni Vision LLC | Ophthalmology | 66602 Swallow Rd, North Bend, OR 97459-8277 | 2020-06-15 |
| 1801203088 | Shawn K Nash | Ophthalmology | 3585 Broadway Ave, North Bend, OR 97459-1251 | 2014-07-19 |
| 1518038058 | Bay Eye Clinic P.C. | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2006-11-13 |
| 1356342950 | Jane Gilbert | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2005-08-03 |
| 1437150265 | Jon Kintner | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2005-08-02 |
| 1649271487 | Dennis E. Ottemiller | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1922483130 | Bradley Seely Md PC | Ophthalmology | 341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 | 2015-07-29 |
| 1821472960 | Complete Eye Care, Inc. | Ophthalmology | 500 Nw 20th St Ste 100, Gresham, OR 97030-2442 | 2015-07-18 |
| 1750703575 | Oregon Retina, LLP | Ophthalmology | 94225 E. 4th St., Gold Beach, OR 97444 | 2014-01-14 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1962824060 | Oregon Retina, LLP | Ophthalmology | 855 W Central Blvd, Coquille, OR 97423-1095 | 2014-01-09 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1861736902 | Asem Alqudah | Ophthalmology | 4730 Sw Luradel St Apt 6, Portland, OR 97219-6841 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
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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.