DR. WAYNE R GRAHAM (NPI# 1699781054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699781054 |
| Entity Type | Individual |
| Full Name | DR. WAYNE R GRAHAM |
| Credential | D.O. |
| Practice Address |
1473 S Highway 40 Suite E Heber City UT 84032-3522 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4356574400 |
| Practice Fax Number | 4356574460 |
| Mailing Telephone | 4356574400 |
| Mailing Fax Number | 4356574460 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 59602551204 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE LICENSE NO | 59602551204 | 01 |
| Street Address |
1473 S HIGHWAY 40 SUITE E |
| City | HEBER CITY |
| State | UT |
| Zip Code | 84032-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447416516 | Johanna Hendrickson | Physician Assistant | 1473 S Highway 40, Suite E, Heber City, UT 84032-3522 | 2008-07-29 |
| 1063616282 | Ihc Health Services Inc | Obstetrics & Gynecology | 1473 S Highway 40, #e, Heber City, UT 84032-3522 | 2007-06-12 |
| 1629294731 | Christopher David Cook | Obstetrics & Gynecology | 1473 S Highway 40, Suite E, Heber City, UT 84032-3522 | 2007-04-17 |
| 1225153802 | Ihc Health Services | Clinic/Center | 1473 S Highway 40, Suite E, Heber City, UT 84032-3522 | 2007-03-20 |
| 1811054695 | Gary H Sharp | Obstetrics & Gynecology | 1473 S Highway 40, Suite E, Heber City, UT 84032-3522 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
| 1558807883 | Heber City Dental | Dentist | 345 E Gateway Drive, Suite 200, Heber City, UT 84032 | 2017-01-10 |
| 1326584921 | Deer Creek Childrens Dentistry | Dentist | 575 South 200 East, Heber City, UT 84032 | 2017-01-06 |
| 1194197871 | Ryan Hall | Physician Assistant | 150 N Main St #105, Heber City, UT 84032 | 2015-10-21 |
| 1841686631 | Jamar Romanceles Grayson | Family Medicine | 1485 Us-40 Ste G, Heber City, Ut 84032, Heber City, UT 84032 | 2015-04-08 |
| 1003218512 | Zebadia Pessetto | Physical Therapist | 380 E 1500 S Ste 102, Heber City, UT 84032 | 2014-09-16 |
| 1033471602 | Erik Mcclure | Anesthesiology | 899 E 200 S, Heber City, UT 84032 | 2012-06-11 |
| 1164716122 | Alicia M Power | Marriage & Family Therapist | 55 South 500 North, Heber City, UT 84032 | 2011-06-07 |
| 1073849873 | Ron T Dummar | Chiropractor | 325 West 600 S St. 403, Heber, UT 84032 | 2009-10-29 |
| 1407031255 | Wasatch County Health Department | Public Health or Welfare | 55 East 500 South, Heber City, UT 84032 | 2007-12-28 |
| Find all providers in zip 84032 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841686631 | Jamar Romanceles Grayson | Family Medicine | 1485 Us-40 Ste G, Heber City, Ut 84032, Heber City, UT 84032 | 2015-04-08 |
| 1497930200 | Stanton Mcdonald, Mdpc | Family Medicine | 35 South 500 East, Heber City, UT 84032-1918 | 2007-12-31 |
| 1851320642 | George D Pitts | Family Medicine | 35 S 500 E, Heber City, UT 84032-1918 | 2006-07-02 |
| 1043297815 | Gregory P Tayler | Family Medicine | 1469 S Highway 40 # C, Heber City, UT 84032-3522 | 2005-12-22 |
| 1245496355 | Tod L Berg, M.d., P.C. | Family Medicine | 1467 S Highway 40, Heber City, UT 84032-3522 | 2008-07-29 |
| 1316117880 | Gregory P Tayler Md Professional Corporation | Family Medicine | 1469 S Highway 40 # C, Heber City, UT 84032-3522 | 2008-03-11 |
| 1982636890 | Stanton Mcdonald | Family Medicine | 35 S 500 E, Heber City, UT 84032-1918 | 2006-07-07 |
| 1033141924 | Neal J Burton | Family Medicine | 35 S 500 E, Heber City, UT 84032-1918 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453160 | Utah Valley Natural Health Clinic | Family Medicine | 3311 N University Ave Ste 100, Provo, UT 84604-7432 | 2020-10-06 |
| 1528665411 | Rejuvaroom LLC | Family Medicine | 954 N 200 E, Spanish Fork, UT 84660-1247 | 2020-10-05 |
| 1356957468 | Aubrie Dawn Tilley | Family Medicine | 1741 E Imperial Park Ln, Salt Lake City, UT 84106-3379 | 2020-09-23 |
| 1588274013 | Jack L Cox | Family Medicine | 1588 N Dutch Meadows Ln, Midway, UT 84049-1275 | 2020-08-10 |
| 1457969834 | Sandra Lee Porter | Family Medicine | 3979 S Jester Dr, Salt Lake City, UT 84123-1227 | 2020-07-21 |
| 1265057673 | Onsite Care Clinics | Family Medicine | 230 S 500 E Ste 510, Salt Lake City, UT 84102-2028 | 2020-06-11 |
| 1154942985 | Healing Center of Utah | Family Medicine | 2630 W 3500 S Ste B, West Valley City, UT 84119-3113 | 2020-05-04 |
| 1649805813 | Hilorie Edwards Garside | Family Medicine | 3024 W 300 N Ste 3, West Point, UT 84015-7258 | 2020-03-09 |
| 1417595497 | Regenerative Medicine of Utah, LLC | Family Medicine | 2297 N Hill Field Rd Ste 101, Layton, UT 84041-6927 | 2019-12-20 |
| 1871131623 | In Home Provider | Family Medicine | 2432 Concord Ave, Santa Clara, UT 84765-5621 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | HEBER CITY |
| Zip Code | 84032 |
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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.