DR. CAMILLE ALICIA GRAHAM (NPI# 1720003569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720003569 |
| Entity Type | Individual |
| Full Name | DR. CAMILLE ALICIA GRAHAM |
| Credential | MD |
| Practice Address |
4000 Medical Pkwy Greenville TX 75401-7854 |
| Practice Telephone | 9034546481 |
| Practice Fax Number | 9034546486 |
| Mailing Telephone | 9034546481 |
| Mailing Fax Number | 9034546486 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | L2908 | TX | Other Service Providers |
| Y | 207Y00000X | Otolaryngology | L2908 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149887501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467542977 | Camille Cecile Graham | Pediatrics | 7777 University Dr Ste D, West Chester, OH 45069-6563 | 2006-10-13 |
| 1144677055 | Camille Whittington Graham | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2016-05-20 |
| 1417918236 | Camille S Graham | Anesthesiology | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-03-31 |
| Street Address |
4000 MEDICAL PKWY |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-7854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870534 | Wha Joon Lee | Specialist | 4000 Medical Pkwy, Greenville, TX 75401-7854 | 2005-06-09 |
| 1558850578 | Rebecca Lynn Jimenez | Audiologist | 4000 Medical Pkwy, Greenville, TX 75401-7854 | 2018-05-04 |
| 1053597468 | Staci A Saunders | Audiologist | 4000 Medical Pkwy, Greenville, TX 75401-7854 | 2008-01-15 |
| 1770515017 | Thomas Victor Ripp | Specialist | 4000 Medical Pkwy, Greenville, TX 75401-7854 | 2006-07-07 |
| 1871525709 | Neil Mahendra Vora | Specialist | 4000 Medical Pkwy, Greenville, TX 75401-7854 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316497845 | Thomas Edward Nix | Otolaryngology | 28 Collins Ridge Dr, Greenville, SC 29607-3775 | 2016-10-07 |
| 1306055702 | Andrew Mitchell Rampey | Otolaryngology | 11402 Anderson Rd Ste D, Greenville, SC 29611-7560 | 2007-05-22 |
| 1972695922 | Fred Calvin Bordelon | Otolaryngology | 200 Arnold Avenue, Greenville, MS 38701-4203 | 2006-09-28 |
| 1740385749 | Gabriel O Te | Otolaryngology | 11 Leech Rd, Greenville, PA 16125-9724 | 2006-09-14 |
| 1760498620 | Arvinder S Uppal | Otolaryngology | 1727 E Union St, Greenville, MS 38703-3253 | 2006-07-31 |
| 1518942044 | W Kenneth Easley Jr. | Otolaryngology | 101 S Venture Dr, Greenville, SC 29615-3571 | 2005-12-07 |
| 1336141167 | Robert G Mahon Jr. | Otolaryngology | 4200 E North St Ste 5, Greenville, SC 29615 | 2005-08-11 |
| 1013915347 | Augustus J Goforth IIi | Otolaryngology | 131 Commonwealth Dr, Suite 230, Greenville, SC 29615-4883 | 2005-07-11 |
| 1730181819 | Stabler Clinic, P.C. | Otolaryngology | 300 N College St, Greenville, AL 36037-2025 | 2005-06-02 |
| 1558927905 | Uppal Medical Center LLC | Otolaryngology | 1727 E Union St, Greenville, MS 38703-3253 | 2019-05-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on DR. CAMILLE ALICIA GRAHAM.
| 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.