MR. WILLIAM CLINTON GRAHAM (NPI# 1558459156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558459156 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM CLINTON GRAHAM |
| Credential | ATC |
| Practice Address |
100 East Libery Street Louisville KY 40201-1854 |
| Mailing Address |
8705 Lambach Ln Louisville KY 40220-3450 |
| Practice Telephone | 5025854571 |
| Mailing Telephone | 5024931430 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT316 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997110 | William James Graham Iv | Dentist | Bldg B-6837 Normandy Dr, Fort Bragg, NC 28310-0001 | 2020-09-21 |
| 1386993459 | William Alexander Graham Jr. | Pathology | 8473 County Home Rd, Lisbon, OH 44432-9418 | 2012-09-05 |
| 1669767265 | William Graham Jr. | Counselor | 620 E Forest Ln, Mustang, OK 73064-4612 | 2011-06-13 |
| 1558510438 | William C Graham | Orthopaedic Surgery | 6300 Carmel Rd Ste 140, Charlotte, NC 28226 | 2008-09-16 |
| 1205016052 | William B. Graham | Acupuncturist | 4991 Bilford Ln, Lake Oswego, OR 97035-5747 | 2007-11-09 |
| 1316063985 | William Junior Graham | Chiropractor | 207 Airport Rd Ste D, Kinston, NC 28504-8859 | 2007-03-22 |
| 1962542316 | William S Graham Jr. | Family Medicine | 600 W College St Ste 120, Springfield, MO 65806-1201 | 2007-02-07 |
| 1750398152 | William Dalton Graham IIi | Dentist | 616 Avenue of The States, Chester, PA 19013-4215 | 2006-08-01 |
| 1093765224 | William J Graham | Radiology | 609 Virginia Ave, Ponca City, OK 74601-2911 | 2006-05-10 |
| 1366422156 | William Kelley Graham | Chiropractor | 60 Main Street, Suite G, Hilton Head Island, SC 29926 | 2006-01-18 |
| Street Address |
100 EAST LIBERY STREET |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40201-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720376338 | Thong Diep Pham | Ophthalmology | 301 East Muhammad Ali Boulevard, Louisville, KY 40201 | 2011-07-17 |
| 1336434554 | Stephanie Anne Nitzken Weede | Anesthesiology | 530 South Jackson Street, Louisville, KY 40201 | 2011-06-15 |
| 1679910277 | Tyler Mccambridge | Anesthesiology | 231 E Chestnut St, Norton Children's Hospital, Louisville, KY 40201-7441 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528882 | Debora Rush | Technician | 1014 Ardmore Dr, Louisville, KY 40217-2304 | 2020-11-07 |
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1558962415 | Regenerative Medicine of Kentucky | Clinic/Center | 10900 Electron Dr Ste 101, Louisville, KY 40299-3824 | 2020-11-05 |
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
| 1942801451 | Associates In Pediatric Therapy LLC | Physical Therapist | 4100 Springdale Rd, Louisville, KY 40241-1165 | 2020-11-03 |
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| Find all providers in LOUISVILLE | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184139 | Kaley Elizabeth Evans | Specialist/Technologist | 17617 Curry Branch Rd, Louisville, KY 40245-7447 | 2020-08-10 |
| 1275150088 | Kristen Pollock | Specialist/Technologist | 1130 W Chestnut St Apt 1310, Louisville, KY 40203-2047 | 2020-06-26 |
| 1033732029 | Antonio Wayne Terrell | Specialist/Technologist | 3813 Parker Ave, Louisville, KY 40212-2845 | 2020-05-25 |
| 1306475538 | Amanda S King | Specialist/Technologist | 3117 Cabinwood Dr, Louisville, KY 40220-2605 | 2020-04-08 |
| 1174157747 | Megan Fernandez | Specialist/Technologist | 2400 Mellwood Ave Apt 1213, Louisville, KY 40206-1075 | 2020-02-23 |
| 1275166969 | William Robert Burns | Specialist/Technologist | 4928 Determine Ln, Louisville, KY 40216-2365 | 2020-02-20 |
| 1497388466 | Anthony Duong | Specialist/Technologist | 4824 Bellevue Ave, Louisville, KY 40215-2412 | 2020-02-19 |
| 1407494271 | Ashtyn Joy Collins | Specialist/Technologist | 824 S 4th St, Louisville, KY 40203-2116 | 2019-12-12 |
| 1366099624 | Jacob Thomas Brunemann | Specialist/Technologist | 2440 Concord Dr, Louisville, KY 40217-1832 | 2019-08-21 |
| 1811543556 | Brook Lee Reichmuth | Specialist/Technologist | 5120 Dixie Hwy Ste 102, Louisville, KY 40216-1775 | 2019-08-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40201 |
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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.