DR. KATHLEEN ROSE GRAHAM (NPI# 1831650829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831650829 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN ROSE GRAHAM |
| Credential | MD |
| Practice Address |
2500 Metrohealth Dr Cleveland OH 44109-1900 |
| Practice Telephone | 2167784486 |
| Mailing Telephone | 2167784486 |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Arch St Ste 1b, Akron, OH 443041436 | 3303753315 | 3303757779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1033683347 | Kathleen Graham | Registered Nurse | 4377 Bronx Blvd, Bronx, NY 10466-1397 | 2019-01-20 |
| 1043760200 | Kathleen Graham | Nurse Practitioner | 1900 N 9th St, Philadelphia, PA 19122 | 2016-10-11 |
| 1407100357 | Kathleen Powers Graham | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2012-10-30 |
| 1851658124 | Kathleen Wakefield Graham | Family Medicine | 4796 Caughlin Pkwy Ste 108, Reno, NV 89519-0910 | 2012-04-11 |
| 1811285547 | Kathleen Joan Graham | Physical Therapist | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2011-07-15 |
| 1437361003 | Kathleen Graham | Dentist | 101 B Parking Way, Lake Jackson, TX 77566 | 2007-05-04 |
| 1760465199 | Kathleen M Graham | Nurse Practitioner | 700 West Ave S, La Crosse, WI 54601-4783 | 2005-11-21 |
| Street Address |
2500 METROHEALTH DR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102340 | William Robert Roscoe | Optometrist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2005-05-31 |
| 1366041980 | Anthony Rimpf | Pharmacist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-23 |
| 1528667896 | Mary Gut | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-19 |
| 1629676507 | Juyoun Park | Social Worker | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-13 |
| 1245838473 | Afeez Kolawole Adisa | Pediatrics | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-10-10 |
| 1386241867 | Andrew Kociubuk | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-07 |
| 1992311666 | Laura Lynn Posey | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-18 |
| 1508472143 | Yusuf Alawadhi | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-09-18 |
| 1255945424 | Christopher Paul Boutton | Nurse Anesthetist, Certified Registered | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-03 |
| 1992319636 | Ella Mathieson | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463862 | Kim El Haddad | Student in an Organized Health Care Education/Training Program | Cleveland Clinic Main Campus 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-09-29 |
| 1114531829 | Amanda Nicole Olevsky | Student in an Organized Health Care Education/Training Program | 1400 Parker Street, Cleveland, TN 37311-4566 | 2020-09-01 |
| 1295348431 | Brandi Williams | Student in an Organized Health Care Education/Training Program | 2200 Prospect Ave E, Cleveland, OH 44115-2673 | 2020-08-27 |
| 1487265625 | Rima Mayuresh Chaudhari | Student in an Organized Health Care Education/Training Program | Main Campus Cleveland Clinic 9500, Euclid Avenue Na-23, Cleveland, OH 44195-0001 | 2020-08-12 |
| 1134738263 | Alicia Lew | Student in an Organized Health Care Education/Training Program | 9501 Euclid Ave Rm 421q, Cleveland, OH 44106-4711 | 2020-07-24 |
| 1972112100 | Breandria Kamille Thompson | Student in an Organized Health Care Education/Training Program | Case Western Reserve University School of Medicine, Samson Pavilion 9501 Euclid Ave., Room 421q, Cleveland, OH 44106-7506 | 2020-07-23 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1003434507 | Ethan Jordan Lacourt | Student in an Organized Health Care Education/Training Program | 2082 Murray Hill Rd, Cleveland, OH 44106-2359 | 2020-07-10 |
| 1235757808 | Hinali Kirit Patel | Student in an Organized Health Care Education/Training Program | 10000 Lamont Ave Unit 12, Cleveland, OH 44106-4149 | 2020-07-10 |
| 1497376644 | Andrea Sisti | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave Bldg 6th Floor, Crile Building, Cleveland Clinic Main Campus, Dept of Plastic Surgery, Cleveland, OH 44195-0001 | 2020-04-29 |
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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.