MICKEY GRAPHIA


Address: 701 N 1st St # D346, Springfield, IL 62702
Phone: 2175458856

MICKEY GRAPHIA (NPI# 1588105811) 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) 1588105811
Entity Type Individual
Full Name MICKEY GRAPHIA
Credential M.D.
Practice Address 701 N 1st St # D346
Springfield
IL 62702
Mailing Address Po Box 19638
Springfield
IL 62794-9638
Practice Telephone 2175458856
Practice Fax Number 2175452563
Mailing Telephone 2175458856
Mailing Fax Number 2175452563
Enumeration Date 2017-03-20
Last Update Date 2018-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
125.072356 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 701 N 1ST ST # D346
City SPRINGFIELD
State IL
Zip Code 62702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497315873 Shawn Poole Surgery 701 N 1st St # D346, Springfield, IL 62702-3757 2019-06-18
1952830473 Ruhani Nanavati Surgery 701 N 1st St # D346, Springfield, IL 62702-3757 2017-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
1588993430 Lutheran Child and Family Services of Illinois Foster Care Agency 620 N. Walnut St., Springfield, IL 62702 2009-12-23
Find all providers in zip 62702

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962791632 Rishi Subbarayan Surgery 960 16th St, Springfield, OR 97477-4175 2011-04-04
1720220759 Kathleen M Lamb Surgery 446 Kent Rd, Springfield, PA 19064-3306 2009-04-06
1417943937 Kim J Hodgson Surgery 340 W Miller St, Springfield, IL 62702-4928 2005-09-20
1275525743 Michael D Addis Surgery 649 Morris Ave, Springfield, NJ 07081-1518 2005-08-19
1861496242 Springfield Surgery PC Surgery 322 Northcrest Dr, Springfield, TN 37172-3963 2005-06-13
1497315873 Shawn Poole Surgery 701 N 1st St # D346, Springfield, IL 62702-3757 2019-06-18
1952830473 Ruhani Nanavati Surgery 701 N 1st St # D346, Springfield, IL 62702-3757 2017-06-08
1356894521 Tian Zhang Surgery 701 N 1st St, Springfield, IL 62702-3757 2016-07-25
1730528563 Emily Marie Serafin Surgery 800 N 1st St, Springfield, IL 62702 2013-06-14
1518221704 Ryan Nicholas Nolte Surgery 701 N 1st St, Springfield, IL 62702-3757 2012-07-02
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62702

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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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