DR. GRAHAM DEAN ENGLUND (NPI# 1962528067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962528067 |
| Entity Type | Individual |
| Full Name | DR. GRAHAM DEAN ENGLUND |
| Credential | M.D. |
| Practice Address |
1698 Old Lebanon Rd Suite 2a Campbellsville KY 42718-9662 |
| Practice Telephone | 2707890587 |
| Mailing Telephone | 2707890587 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
43043 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100089320 | 05 | |
| KY | ANTHEM BLUECROSS | 000000634978 | 01 |
| Street Address |
1698 OLD LEBANON RD SUITE 2A |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-9662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195825 | Steve Junior Vanmeter | Obstetrics & Gynecology | 1698 Old Lebanon Rd, Ste 2b, Campbellsville, KY 42718-9662 | 2005-06-23 |
| 1700322070 | Leigh Ann Stutzenberger | Physician Assistant | 1698 Old Lebanon Rd, Suite 2a, Campbellsville, KY 42718-9662 | 2017-01-11 |
| 1215398581 | Ashlyn Read | Physician Assistant | 1698 Old Lebanon Rd, Suite 2a, Campbellsville, KY 42718-9662 | 2016-03-15 |
| 1053724278 | Meredith Angel | Surgery | 1698 Old Lebanon Rd, Campbellsville, KY 42718-9662 | 2014-06-05 |
| 1750704045 | Taylor Regional Medical Group, LLC | Surgery | 1698 Old Lebanon Rd, Campbellsville, KY 42718-9662 | 2014-01-23 |
| 1932462645 | Matthew Ryan Feltner | Podiatrist | 1698 Old Lebanon Rd, Ste 3a, Campbellsville, KY 42718-9662 | 2012-06-18 |
| 1720376411 | Taylor Regional Medical Group,llc | Plastic Surgery | 1698 Old Lebanon Rd, Suite 2a, Campbellsville, KY 42718-9662 | 2011-07-14 |
| 1235422940 | Catherine Feese | Obstetrics & Gynecology | 1698 Old Lebanon Rd, Suite 2b, Campbellsville, KY 42718-9662 | 2011-05-27 |
| 1740432053 | Taylor Regional Medical Group,llc | Urology | 1698 Old Lebanon Rd, Suite 3b, Campbellsville, KY 42718 | 2008-10-17 |
| 1760501225 | Gina S Bell | Obstetrics & Gynecology | 1698 Old Lebanon Rd, Suite 2b, Campbellsville, KY 42718-9662 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700156353 | University of Louisville Physicians | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-01-12 |
| 1528299765 | Rudy Jewan Judhan | Surgery | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2009-08-05 |
| 1780846592 | Joshua M Judge | Surgery | 800 Rose St, C224, Lexington, KY 40536-7001 | 2008-07-02 |
| 1922076728 | David G Changaris | Surgery | 801 Barret Ave, Suite 103, Louisville, KY 40204-1747 | 2006-03-09 |
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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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.