ALAN SCOTT GRAHAM (NPI# 1598771099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598771099 |
| Entity Type | Individual |
| Full Name | ALAN SCOTT GRAHAM |
| Credential | MD |
| Practice Address |
1400 S Dobson Rd Mesa AZ 85202-4707 |
| Mailing Address |
Po Box 29391 Phoenix AZ 85038-9391 |
| Practice Telephone | 4804123340 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
44802 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD25165 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 609164 | 05 | |
| OR | 233479 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598876328 | Alan Daryl Graham | Surgery | 200 City Hill Dr, London, KY 40741-3038 | 2006-08-31 |
| 1285718742 | Alan M Graham | Surgery | 1 Medical Center Blvd, Vivacqua Pavilion, Suite 233, Chester, PA 19013-3902 | 2006-10-24 |
| 1801987581 | Alan R Graham | Psychologist | 1580 N Northwest Hwy, Suite 311d, Park Ridge, IL 60068-1444 | 2006-09-27 |
| Street Address |
1400 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102977 | Nabin Sharma | Internal Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2005-05-23 |
| 1902429012 | Melanie Louise Ryan | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-05-22 |
| 1154951150 | Mistelle Allan | Registered Nurse | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-01-19 |
| 1225672785 | Roberta Lee Nixon | Nurse Practitioner | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-10-28 |
| 1831742618 | Misty Villar | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-07-19 |
| 1407318819 | Jamie Lynn Petersen | Speech-Language Pathologist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
| 1124580691 | Quality Time Anesthesia, Pllc | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
| 1477013704 | Amanda Sweig | Physical Therapist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-03-22 |
| 1922587195 | Serena Chonglun Zhou | Pharmacist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-08-09 |
| 1144719642 | Samantha Odell Meyerhoff | Emergency Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033588959 | Yuki Yasaka | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2015-09-21 |
| 1609961739 | Budi Wiryawan | Pediatrics | 1400 S Dobson Rd, Banner Children's Hospital, Mesa, AZ 85202-4707 | 2006-10-04 |
| 1528032109 | Jose A Gutierrez | Pediatrics | 1400 S Dobson Rd, Attn: Pediatric Intensive Care Unit, Mesa, AZ 85202-4707 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467154 | Pediatrics Healthcare Associates | Pediatrics | 10645 N Tatum Blvd Ste C200-272, Phoenix, AZ 85028-3068 | 2020-05-04 |
| 1225051618 | Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri Pa | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2006-07-26 |
| 1043237548 | Karen Renee Underwood | Pediatrics | 11834 N 142nd St, Scottsdale, AZ 85259-3791 | 2006-07-17 |
| 1255833158 | Jennifer Hann | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2018-03-06 |
| 1720408313 | Shefali Aggarwal | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2014-04-22 |
| 1821433467 | Elizabeth Rose Diaz | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2013-05-09 |
| 1700143674 | Renee Devor | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2012-04-17 |
| 1124305578 | Jeffrey H Hill Md Phc Pllc | Pediatrics | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2011-11-14 |
| 1174847255 | David S Nathalang | Pediatrics | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2010-03-18 |
| 1285882985 | Mary G. Gaspers | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2008-09-05 |
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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.