DR. RANDAL OLIVER GRAHAM (NPI# 1710094180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710094180 |
| Entity Type | Individual |
| Full Name | DR. RANDAL OLIVER GRAHAM |
| Credential | M.D. |
| Practice Address |
1819 W Clinch Ave Ste 200 Knoxville TN 37916-2435 |
| Mailing Address |
Po Box 52948 Knoxville TN 37950-2948 |
| Practice Telephone | 8655243695 |
| Practice Fax Number | 8656023528 |
| Mailing Telephone | 8653065675 |
| Mailing Fax Number | 8655847712 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD 17921 | TN | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD17921 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3026054 | 05 |
| Street Address |
1819 W CLINCH AVE STE 200 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710070479 | Paul S Dudrick | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-10-02 |
| 1700993839 | Michael David Kropilak | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-08-24 |
| 1033226162 | Gregory Panos Midis | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-08-24 |
| 1811004732 | P. Kevin Zirkle | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-08-24 |
| 1326155755 | Richard Allan Brinner | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309382 | Md Webber PC | Surgery | 10810 Parkside Dr Ste 310, Knoxville, TN 37934-1986 | 2019-01-10 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1083970669 | Michael Alfredo Antiporda | Surgery | 1819 Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2012-04-08 |
| 1457639478 | Ryan K Schmocker | Surgery | 1926 Alcoa Hwy Ste 330, Knoxville, TN 37920-1547 | 2011-07-25 |
| 1013120815 | Melissa Susan Phillips | Surgery | 1934 Alcoa Hwy Ste D285, Knoxville, TN 37920 | 2007-05-08 |
| 1295821569 | Daniel David Opheim | Surgery | 10810 Parkside Dr Ste 201, Knoxville, TN 37934-1983 | 2006-10-05 |
| 1649381864 | Marvin Haber Vickers Jr. | Surgery | 2227 Breakwater Dr, Knoxville, TN 37922-5678 | 2006-08-31 |
| 1992812010 | Hugh Crockett Hyatt | Surgery | 631 Scenic Dr, Knoxville, TN 37919-6654 | 2006-08-24 |
| 1518074939 | Keith Sean Campbell | Surgery | 1105 Scenic Dr, Knoxville, TN 37919-7643 | 2006-08-23 |
| 1093822553 | Stephen Glenn Boyce | Surgery | 10810 Parkside Dr Ste 305, Knoxville, TN 37934-1986 | 2006-08-23 |
| Find all providers in KNOXVILLE | ||||
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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.