TIMOTHY H GRAVES (NPI# 1780865824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780865824 |
| Entity Type | Individual |
| Full Name | TIMOTHY H GRAVES |
| Credential | PA-C |
| Practice Address |
4740 Pearl Pkwy Ste 200 Boulder CO 80301-3080 |
| Mailing Address |
933 Alpine Ave Boulder CO 80304-3305 |
| Practice Telephone | 3034492730 |
| Practice Fax Number | 3034495821 |
| Mailing Telephone | (303) 449-2730 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0004283 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | AP2447 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598969289 | Timothy Graves | Chiropractor | 350 Interlocken Blvd Ste 395, Broomfield, CO 80021-8006 | 2007-06-14 |
| 1467557728 | Timothy Graves | Surgery | 1330 Rockefeller Ave, Everett, WA 98201-1684 | 2006-09-13 |
| 1245225572 | Timothy L Graves | Family Medicine | 770 Walnut St, Macon, GA 31201-7307 | 2005-09-13 |
| Street Address |
4740 PEARL PKWY STE 200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-3080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261676 | Khemarin R Seng | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2005-11-08 |
| 1659789121 | Chelsea Sturgeon | Physical Therapist | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2014-07-29 |
| 1376959593 | Kathleen Kollitz Jegapragasan | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2014-07-08 |
| 1639496292 | Benjamin Todd Bjerke | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301 | 2010-04-22 |
| 1659698298 | Austin Warren Chen | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2010-04-21 |
| 1093978223 | William C. Kramer | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2008-07-08 |
| 1245448984 | Dirk Dolbeare | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2007-05-18 |
| 1770798795 | Daniel Lee Master | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2007-05-12 |
| 1063633691 | James D Thomas | Physician Assistant | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2007-05-01 |
| 1952427049 | Bouldercentre for Orthopedics | Physical Therapist | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980298 | Rachel Wolfe | Physician Assistant | 38 Qualla Ct, Boulder, CO 80303-3900 | 2020-10-24 |
| 1568005510 | Haley Reiter | Physician Assistant | 5387 Manhattan Cir Ste 201, Boulder, CO 80303-4283 | 2019-10-22 |
| 1326515487 | Kathryn Desellem Devlin | Physician Assistant | 4222 Monroe Dr Apt D, Boulder, CO 80303-2189 | 2018-10-26 |
| 1396244836 | Trisha Quon | Physician Assistant | 4743 Arapahoe Ave Ste 102, Boulder, CO 80303-1123 | 2018-02-11 |
| 1992152482 | Hillary Smyth | Physician Assistant | 75 Manhattan Dr Ste 208, Boulder, CO 80303-4252 | 2016-05-16 |
| 1093180341 | Melissa Ortega | Physician Assistant | 565 Manhattan Dr, 102, Boulder, CO 80303-4051 | 2015-12-10 |
| 1265853790 | David James Mackey | Physician Assistant | 565 Hartford Dr, Boulder, CO 80305-5714 | 2013-12-31 |
| 1023381993 | Ara Rustad Haupt | Physician Assistant | 75 Manhattan Dr Mindful Pediatrics, Suite #4, Boulder, CO 80303 | 2012-02-22 |
| 1336339894 | Amanda Lauren Lapointe | Physician Assistant | 3434 47th St Ste 200, Boulder, CO 80301-1817 | 2007-07-30 |
| 1487855763 | Monica R Giamellaro | Physician Assistant | 1155 Alpine Ave Ste 280, Boulder, CO 80304-3493 | 2007-05-31 |
| Find all providers in BOULDER | ||||
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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.