MR. SCOTT DAVID GRAHAM


Address: Eodmu 5 Unit 25499, 2112 Sumay Cove Drive, Santa Rita, GAUM 96915, UM
Phone: 6713398171

MR. SCOTT DAVID GRAHAM (NPI# 1932312097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932312097
Entity Type Individual
Full Name MR. SCOTT DAVID GRAHAM
Credential HM IDC
Practice Address Eodmu 5 Unit 25499
2112 Sumay Cove Drive
Santa Rita
GAUM 96915
UM
Mailing Address Eodmu 5 Unit 25499
2112 Sumay Cove Drive
Santa Rita
GUAM 96915
UM
Practice Telephone 6713398171
Practice Fax Number 6713398179
Mailing Telephone 6713398171
Mailing Fax Number 6713398179
Enumeration Date 2007-05-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

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1922356856 Scott Graham Counselor 220 N Main St, Adrian, MI 49221-2749 2012-08-27
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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

Office Location

Street Address EODMU 5 UNIT 25499
2112 SUMAY COVE DRIVE
City SANTA RITA
State GAUM
Zip Code 96915

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205442738 The Janz Corporation Durable Medical Equipment & Medical Supplies U.s Naval Base Nex, Building 700 Navy Exchange Road, Santa Rita, GUAM 96915 2020-09-21
1518517457 Chiaki Cherry Technician 175 Juaquin Aguon Rd., Yona, GU 96915 2019-09-12
1043798275 Camille M Paulino Behavior Technician 152 Joaquin Perez Street, Santa Rita, GU 96915 2018-07-31
1578053690 Tiffany Michelle Rios Behavior Technician 22 Laguna St, Santa Rita, GUAM 96915 2018-05-14
1457739369 Kathryn Davis-finch Marriage & Family Therapist 1753 Halsey Dr., Piti, GU 96915 2015-05-12
1801235221 Michelle Anne Lowery Dental Hygienist 5 Saipan Street, Santa Rita, GU 96915 2013-06-19
1487954863 Naval Hospital Guam Military/U.S. Coast Guard Pharmacy Bldg # 6 Chapel Rd, Santa Rita, GU 96915 2010-11-01
1417191164 Aurora-rhea P Miller-ramos Contractor 2239b Mcmillen Dr, Santa Rita, GUAM 96915 2009-04-24
1578743860 Christopher George Boyce Military Health Care Provider Comsubron 15, Santa Rita, GUAM 96915 2007-11-05
1053591313 Dennis W Davis Military Health Care Provider Uss Buffalo (ssn 715), Comnavmarianas, Santa Rita, GU 96915 2007-11-05
Find all providers in zip 96915

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144725839 Eduardo Servin Military Health Care Provider Naval Base Guam, Eodmu 5, Santa Rita, GU 96540-0003 2018-03-26
1578743860 Christopher George Boyce Military Health Care Provider Comsubron 15, Santa Rita, GUAM 96915 2007-11-05
1003009267 Craig Steven Bosley Military Health Care Provider 10 Orote Point Rd, Santa Rita, GU 96915-1130 2007-08-21
1053380303 Jason C Spurgers Military Health Care Provider 167 Plumeria, Santa Rita, GU 96915 2006-03-17

Competitor

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City SANTA RITA
Zip Code 96915

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Dataset Information

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.

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