DR. SCOTT FITZGERALD GRAHAM (NPI# 1861452104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861452104 |
| Entity Type | Individual |
| Full Name | DR. SCOTT FITZGERALD GRAHAM |
| Credential | M.D. |
| Practice Address |
1175 Wilson Ave Nw Walker MI 49534-6407 |
| Mailing Address |
1900 44th St Se Kentwood MI 49508-5008 |
| Practice Telephone | 6166858650 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301106753 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932312097 | Scott David Graham | Military Health Care Provider | Eodmu 5 Unit 25499, 2112 Sumay Cove Drive, Santa Rita, GAUM 96915 | 2007-05-07 |
| 1750300497 | Scott T Graham | Physical Therapist | 2902 Forum Blvd, Suite 104, Columbia, MO 65203-5404 | 2006-07-19 |
| 1700801313 | Scott Allan Graham | Orthopaedic Surgery | 10 Harris Ct Bldg A, Ste A1, Monterey, CA 93940-5704 | 2006-07-13 |
| 1922356856 | Scott Graham | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2012-08-27 |
| 1194923631 | Scott James Graham | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2007-07-06 |
| 1447478011 | Scott Thomas Graham | Dentist | 44075 N Gratiot Ave, Clinton Twp, MI 48036-1312 | 2007-04-21 |
| 1225132350 | Scott R Graham | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
| 1154431609 | Scott M. Graham | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2006-08-30 |
| 1760453294 | Scott C Graham | Anesthesiology | 1275 York Ave, New York, NY 10021-6007 | 2006-02-01 |
| 1619947058 | Scott James Graham | Pathology | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2006-01-26 |
| Street Address |
1175 WILSON AVE NW |
| City | WALKER |
| State | MI |
| Zip Code | 49534-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619210 | Kelsey Harrison | Physical Therapist | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2020-11-04 |
| 1093374191 | Nicole Beemer | Physical Therapist | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2019-06-12 |
| 1194242412 | Autumn Luke | Physical Therapist | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2017-08-28 |
| 1780133694 | Leda Theres Evans | Nurse Practitioner | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2016-10-04 |
| 1760869028 | Kayla Burns | Pharmacist | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2015-05-06 |
| 1942694930 | Zachary D Heathman | Physician Assistant | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2015-03-27 |
| 1205276383 | Christopher James Davis | Family Medicine | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2013-07-03 |
| 1770838708 | Lindsey Elie Heathman | Nurse Practitioner | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2012-07-16 |
| 1851688709 | Jessica Lynne White | Physical Therapist | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2011-06-29 |
| 1326351156 | Quratul A Aziz | Internal Medicine | 1175 Wilson Ave Nw, Walker, MI 49534 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336792324 | Heather Duthler | Social Worker | 648 Kinney Ave Nw, Grand Rapids, MI 49534 | 2019-07-19 |
| 1114473550 | Tari Kruzel | Registered Nurse | 12955 3rd Ave Nw, Grand Rapids, MI 49534 | 2016-08-26 |
| 1972847184 | Indian Trails Camp, Inc. | Day Training, Developmentally Disabled Services | O-1859 Lake Michigan Dr. Nw, Grand Rapids, MI 49534 | 2012-11-15 |
| 1871743815 | Michael Robert Anderson Jr. | Chiropractor | 0-705 Tallmadge Woods Dr. Nw, Suite A, Grand Rapids, MI 49534 | 2008-09-26 |
| 1750459285 | Rick David Saier | Internal Medicine | 1175 Wilson Ave, Walker, MI 49534 | 2006-12-01 |
| 1154414886 | Edward D Young Dds PC | Dentist | 4310 Leonard Nw, Grand Rapids, MI 49534 | 2006-10-02 |
| 1558461756 | Sandra Staublin | Pediatrics | 4288 3 Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1700986999 | Belinda Chou | Pediatrics | 4288 Three Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1639196603 | David Robert Felton | Chiropractor | 4110 Lake Michigan Dr Nw, Grand Rapids, MI 49534 | 2006-07-16 |
| 1952349235 | Chiropractic Plus, P.C. | Chiropractor | 0 699 Tallmadge Wds Nw, Suite B, Grand Rapids, MI 49534 | 2006-06-02 |
| Find all providers in zip 49534 | ||||
| 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 |
|---|---|---|---|---|
| 1437314390 | David Warren Messinger | Family Medicine | 10231 Walker Rd, Walker, SD 57659 | 2008-07-21 |
| 1225050891 | William M Petersen | Family Medicine | 614 Michigan Ave, Walker, MN 56484-1390 | 2006-07-24 |
| 1770537680 | Dakota Clinic, Ltd. | Family Medicine | Highway 371, Walker, MN 56484 | 2006-05-22 |
| 1114979929 | Sally Kliphuis | Family Medicine | 933 3 Mile Rd Nw, Suite 210, Walker, MI 49544-1673 | 2006-05-17 |
| 1679536726 | Shelley Marie Drew | Family Medicine | 1550 3 Mile Rd Nw, Walker, MI 49544-8251 | 2006-04-10 |
| 1821074733 | Thomas P Haas | Family Medicine | 614 Michigan Ave W, Walker, MN 56484-2276 | 2005-12-22 |
| 1407837602 | Beverly Joan Sankey | Family Medicine | 933 3 Mile Rd Nw Ste 210, Walker, MI 49544-1673 | 2005-11-07 |
| 1467986265 | Thomas Grant Krumme | Family Medicine | 110 Michigan Ave W, Walker, MN 56484-2274 | 2017-04-18 |
| 1205276383 | Christopher James Davis | Family Medicine | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2013-07-03 |
| 1942646567 | Michelle Engelhorn Duhe | Family Medicine | 5000 Odonavan Blvd, Suite 404, Walker, LA 70785-6351 | 2013-05-22 |
| Find all providers in WALKER | ||||
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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.