MR. TIMOTHY J GRAHAM (NPI# 1699747766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699747766 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY J GRAHAM |
| Credential | CRNA |
| Practice Address |
12634 Olive Blvd Ste 122 Saint Louis MO 63141-6337 |
| Mailing Address |
660 S Euclid Ave C B 8054 Saint Louis MO 63110-1010 |
| Practice Telephone | 3149968378 |
| Practice Fax Number | 3149968910 |
| Mailing Telephone | 3149968378 |
| Mailing Fax Number | 3149968910 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2009-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 074653 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386055614 | Timothy M. Graham | Podiatrist | 805 Farson St Ste 113, Belpre, OH 45714-1000 | 2014-05-08 |
| 1134213119 | Timothy J Graham | Podiatrist | 708 W Springfield Rd, Taylorville, IL 62568-1200 | 2006-10-03 |
| 1134162258 | Timothy E Graham | Internal Medicine | 7410 S Creek Rd Ste 100, Sandy, UT 84093-6151 | 2006-06-14 |
| 1609863661 | Timothy Patrick Graham | Family Medicine | 477 Cooper Rd Ste 300, Westerville, OH 43081-8057 | 2005-10-04 |
| 1710390869 | Timothy Aaron Graham | Radiology | 4200 W Memorial Rd Ste 212, Oklahoma City, OK 73120-8305 | 2014-06-06 |
| 1124377726 | Timothy S Graham | Pharmacist | 173 Elm St, Pittsfield, MA 01201 | 2012-08-29 |
| 1982867347 | Timothy Patrick Graham | Anesthesiology | 700 S Park St, Madison, WI 53715-1830 | 2008-07-07 |
| 1285774513 | Timothy P. Graham | Social Worker | 720 Wood St, Eureka, CA 95501-4413 | 2007-02-07 |
| 1831157460 | Timothy S Graham | Orthopaedic Surgery | 3120 Wilmington Rd, New Castle, PA 16105 | 2006-05-03 |
| 1235196742 | Timothy Eugene Graham | Radiology | 2901 N 4th St, Longview, TX 75605-5128 | 2006-04-27 |
| Street Address |
12634 OLIVE BLVD STE 122 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041997 | Paul Sherman Lux | Orthopaedic Surgery | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2005-05-27 |
| 1528608445 | Janessa Rae Rappe | Nurse Practitioner | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2020-01-08 |
| 1902309362 | Christine Michelle Boyle | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2018-03-13 |
| 1467965004 | Natasha Renee Goodwin | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2017-11-06 |
| 1003272642 | Mary Katherine Kinworthy | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2016-01-12 |
| 1568873065 | Amy R Maksimovich | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2014-05-19 |
| 1609296599 | Kathleen Casey Black | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2014-04-18 |
| 1467872515 | Marie Christine Goez | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2014-04-16 |
| 1992126379 | Kara Nicole Stephenson | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2014-01-02 |
| 1649618216 | Erin Margaret Hoyer | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2013-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1548767783 | Chynna Janae Lorusso | Nurse Anesthetist, Certified Registered | 5321 Shaw Ave, Saint Louis, MO 63110-3023 | 2018-04-12 |
| 1245644806 | Nicole Fadler Stevens | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz Dept Of, Saint Louis, MO 63110-1003 | 2014-06-11 |
| 1467711226 | Jacob William Pressler | Nurse Anesthetist, Certified Registered | 725 Tuxedo Blvd, Saint Louis, MO 63119-1946 | 2012-05-14 |
| 1861718165 | Janna Sue Ford | Nurse Anesthetist, Certified Registered | 1304 Millbay Ct, Saint Louis, MO 63129-3171 | 2010-04-12 |
| 1407895030 | Scott Jeffrey Weinerth | Nurse Anesthetist, Certified Registered | 6122 Terri Lynn Dr, Saint Louis, MO 63123-1678 | 2006-06-06 |
| 1518913938 | Annie Mcnulty-jennings | Nurse Anesthetist, Certified Registered | 10535 Landseer Dr, Saint Louis, MO 63136-4530 | 2006-05-26 |
| 1417906579 | Diane Richter | Nurse Anesthetist, Certified Registered | 3015 N. Ballas Rd., Saint Louis, MO 63160-0001 | 2006-05-08 |
| 1699723510 | Mark Erwin Holthaus | Nurse Anesthetist, Certified Registered | 10811 Kennerly Rd, Saint Louis, MO 63128-2016 | 2006-05-04 |
| 1477539351 | Theresa Stearns | Nurse Anesthetist, Certified Registered | 5571 Bartmer Ave., Saint Louis, MO 63112-3406 | 2005-12-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.