DR. STANLEY KEITH GRAHAM (NPI# 1952330557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952330557 |
| Entity Type | Individual |
| Full Name | DR. STANLEY KEITH GRAHAM |
| Credential | M.D. |
| Practice Address |
506 4th St La Grande OR 97850-1906 |
| Practice Telephone | 5419633138 |
| Practice Fax Number | 5419635918 |
| Mailing Telephone | 5419633138 |
| Mailing Fax Number | 5419635918 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD15159 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | EMPLOYER ID | 9305053253023 | 01 |
| OR | PACIFIC SOURCE | H1395 01 | 01 |
| OR | 065268 | 05 | |
| OR | RR MEDICARE | P00265707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326230921 | Stanley Tanner Graham | Family Medicine | 2240 Adams Ave, Ogden, UT 84401-1511 | 2007-08-16 |
| 1184798928 | Stanley R Graham | Psychologist | 50 W 23rd St, 9th Floor, New York, NY 10010-5205 | 2006-11-20 |
| Street Address |
506 4TH ST |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457347965 | Francis E Szumski | Family Medicine | 506 4th St, La Grande, OR 97850-1906 | 2005-09-21 |
| 1902373616 | Heather Hurd | Social Worker | 506 4th St, La Grande, OR 97850-1906 | 2018-10-31 |
| 1396233110 | Doreen Lynn Dobyns | Registered Nurse | 506 4th St, La Grande, OR 97850-1906 | 2018-04-26 |
| 1558894329 | Tara Palmer | Nurse Practitioner | 506 4th St, La Grande, OR 97850-1906 | 2017-04-07 |
| 1063867661 | Michelle Tolle | Family Medicine | 506 4th St, La Grande, OR 97850-1906 | 2016-05-02 |
| 1730541723 | James Sheehy | Social Worker | 506 4th St, La Grande, OR 97850-1906 | 2016-03-28 |
| 1396124202 | Karyanne Spangler | Registered Nurse | 506 4th St, La Grande, OR 97850-1906 | 2015-05-26 |
| 1376939314 | Grande Ronde Hospital, Inc. | Clinic/Center | 506 4th St, La Grande, OR 97850-1906 | 2015-04-07 |
| 1295123933 | Raylene Eisele | Nurse Practitioner | 506 4th St, La Grande, OR 97850 | 2015-01-05 |
| 1962804641 | Carly Gray | Nurse Practitioner | 506 4th St, La Grande, OR 97850 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427299346 | Kelly Ray Mutch | Internal Medicine | 62462 Igo Ln, La Grande, OR 97850-5147 | 2009-03-23 |
| 1811175565 | Mt. Emily Medical Associates, LLC | Internal Medicine | 204 3rd St, La Grande, OR 97850-1946 | 2008-02-05 |
| 1689939522 | Madhavi Chandra Tangirala | Internal Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2012-07-06 |
| 1669736419 | Nitesh Sharma | Internal Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2012-06-26 |
| 1275705980 | Inski Howard E Quan Yu | Internal Medicine | 506 4th St, La Grande, OR 97850 | 2008-04-02 |
| 1174553929 | Grande Ronde Hospital, Inc. | Internal Medicine | 506 4th St, La Grande, OR 97850-1906 | 2006-07-04 |
| 1497785042 | Stephen Robert Bump | Internal Medicine | 506 4th St, La Grande, OR 97850-1906 | 2006-07-03 |
| 1306876958 | Susan Kathleen Rice | Internal Medicine | 506 4th St, La Grande, OR 97850-1906 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1831708916 | P3 Health Partners-oregon LLC | Internal Medicine | 2525 12th St Se Ste 240250, Salem, OR 97302-2281 | 2020-07-24 |
| 1912521105 | Ehg of Oregon, P.C. | Internal Medicine | 1755 Coburg Rd Unit 502, Eugene, OR 97401-4900 | 2020-06-03 |
| 1770107302 | Vpa PC | Internal Medicine | 1500 Ne 15th Ave Apt 431, Portland, OR 97232-4418 | 2020-05-29 |
| 1285279042 | Gaps Health Or PC | Internal Medicine | 780 Commercial St Se Ste 100, Salem, OR 97301-3465 | 2019-11-15 |
| 1497306468 | David P Larson, Md, LLC | Internal Medicine | 16043 Sw Waxwing Way, Beaverton, OR 97007-8362 | 2019-09-21 |
| 1073167730 | Oregon Adult Medicine PC | Internal Medicine | 2330 Nw Flanders St Ste 201, Portland, OR 97210-3460 | 2019-07-30 |
| 1306303979 | Healthy Connections Hood River LLC | Internal Medicine | 33 Nichols Pkwy # 300, Hood River, OR 97031-3121 | 2019-03-01 |
| 1932679297 | Southern Oregon Medical Clinic LLC | Internal Medicine | 537 Murphy Rd Ste B, Medford, OR 97504-8187 | 2018-11-29 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. STANLEY KEITH 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.