Jeffrey S Graham (NPI# 1508862020, PAC ID# 0941238802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1508862020 |
PAC ID by PECOS | 0941238802 |
Professional Enrollment ID | I20050801001186 |
Full Name | Jeffrey S Graham |
Organization Legal Name | EASTERN MAINE HEALTHCARE SYSTEMS |
Address |
22 Haley Ct Sangerville ME 04479-3000 |
Phone Number | 2078764811 |
Gender | M |
Credential | MD |
Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
Graduation Year | 1980 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 1557279031 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
201301 | CHARLES A DEAN MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
22 Haley Ct, Sangerville, ME 04479-3000 | 2078764811 | EASTERN MAINE HEALTHCARE SYSTEMS |
Organization Legal Name | EASTERN MAINE HEALTHCARE SYSTEMS |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anas M Mansour | Cardiovascular Disease (cardiology) | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
Karl F Liebermann | Family Medicine | Eastern Maine Healthcare Systems | 364 Pritham Ave, Greenville, ME 04441-7214 |
Joseph A Babbitt | Emergency Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
Darin M Peck | Family Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
Paul R Potvin | Emergency Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
Shannon M Meredith | Podiatry | Eastern Maine Healthcare Systems | 364 Pritham Ave, Greenville, ME 04441-7214 |
Robert M Bowie | Emergency Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
Brian P Mccann | Emergency Medicine | Eastern Maine Healthcare Systems | 364 Pritham Ave, Greenville, ME 04441-7214 |
Street Address |
22 HALEY CT |
City | SANGERVILLE |
State | ME |
Zip | 04479-3000 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anas M Mansour | Cardiovascular Disease (cardiology) | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
Joseph A Babbitt | Emergency Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
Darin M Peck | Family Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
Paul R Potvin | Emergency Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
Robert M Bowie | Emergency Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
City | SANGERVILLE |
Zip Code | 04479 |
Specialty | UROLOGY |
City + Specialty | SANGERVILLE + UROLOGY |
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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.