Corey F Graham (NPI# 1316109317, PAC ID# 0244457786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1316109317 |
| PAC ID by PECOS | 0244457786 |
| Professional Enrollment ID | I20140807000751 |
| Full Name | Corey F Graham |
| Organization Legal Name | KOSCIUSKO MEDICAL GROUP LLC |
| Address |
107 W Pickwick Dr A Syracuse IN 46567-1832 |
| Phone Number | 5744578585 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 5496809956 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150133 | KOSCIUSKO COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 107 W Pickwick Dr A, Syracuse, IN 46567-1832 | 5744578585 | KOSCIUSKO MEDICAL GROUP LLC |
| 2235 Dubois Dr, Warsaw, IN 46580-3212 | 5742678189 | KOSCIUSKO MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 95% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 12% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 60% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 9% |
| Organization Legal Name | KOSCIUSKO MEDICAL GROUP LLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Turner | Physical Therapy | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Sara Crooks | Nurse Practitioner | Kosciusko Medical Group LLC | 2235 Dubois Dr, Warsaw, IN 46580-3212 |
| Julie Ferland | Podiatry | Kosciusko Medical Group LLC | 3505 Lake City Hwy, Warsaw, IN 46580-3942 |
| Jacqueline Anders | Nurse Practitioner | Kosciusko Medical Group LLC | 614 N Main St, North Webster Medical Clinic, North Webster, IN 46555-9364 |
| Stephanie A Wells | Nurse Practitioner | Kosciusko Medical Group LLC | 107 W Pickwick Dr A, Syracuse, IN 46567-1832 |
| Patrick Bidiones Ilada | General Surgery | Kosciusko Medical Group LLC | 1000 Provident Dr, Suite C, Warsaw, IN 46580-3255 |
| Brian David Reichenbach | Family Medicine | Kosciusko Medical Group LLC | 2217 Dubois Dr, Warsaw, IN 46580-3212 |
| Daniel L Loney | Family Medicine | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Melissa Lee Jimenez | Nurse Practitioner | Kosciusko Medical Group LLC | 515 E Main St, Mentone Family Medicine, Mentone, IN 46539-9723 |
| Megan Fisher | Nurse Practitioner | Kosciusko Medical Group LLC | 2235 Dubois Dr, Warsaw, IN 46580-3212 |
| Street Address |
107 W PICKWICK DR A |
| City | SYRACUSE |
| State | IN |
| Zip | 46567-1832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie A Wells | Nurse Practitioner | Kosciusko Medical Group LLC | 107 W Pickwick Dr A, Syracuse, IN 46567-1832 |
| John Kent Kratzer | Family Medicine | Kosciusko Medical Group LLC | 107 W Pickwick Dr A, Syracuse, IN 46567-1832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara Kermani | Family Medicine | Goshen Health System Inc | 1033 N Indiana Ave, Syracuse, IN 46567-1017 |
| Falon Kuhn | Nurse Practitioner | Goshen Health System Inc | 1033 N Indiana Ave, Syracuse, IN 46567-1017 |
| Theodore Sauer | Family Medicine | Goshen Health System Inc | 1033 N Indiana Ave, Syracuse, IN 46567-1017 |
| Amy L Frazier | Nurse Practitioner | Goshen Health System Inc | 1033 N Indiana Ave, Syracuse, IN 46567-1017 |
| Larry D Allen | Family Medicine | Goshen Health System Inc | 1033 N Indiana Ave, Syracuse, IN 46567-1017 |
| Jodi S Clouse | Family Practice | Goshen Health System Inc | 1033 N Indiana Ave, Syracuse, IN 46567-1017 |
| Diane A Hochstetler | Nurse Practitioner | Goshen Health System Inc | 1033 N Indiana Ave, Syracuse, IN 46567-1017 |
| Dawn Marie Bass | Qualified Audiologist | Bass Audiology LLC | 111 E Main St, Syracuse, IN 46567-1120 |
| James R Thwaits | Chiropractic | 502 N Huntington St, Thwaits Chiropractic, Syracuse, IN 46567-1224 | |
| Rod Kaufman | Optometry | 406 N Huntington St, Syracuse, IN 46567-1226 | |
| Find all physicians in zip 46567 | |||
| City | SYRACUSE |
| Zip Code | 46567 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SYRACUSE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Corey F Graham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.