Mary Jo M Graham (NPI# 1104003268, PAC ID# 1355488248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104003268 |
| PAC ID by PECOS | 1355488248 |
| Professional Enrollment ID | I20091026000585 |
| Full Name | Mary Jo M Graham |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Address |
5600 Norwich Pkwy Oak Park Heights MN 55082-6482 |
| Phone Number | 6512755000 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759293954 |
| Number of Group Practice Members | 1273 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2220 Riverside Ave S, Minneapolis, MN 55454-1321 | GROUP HEALTH PLAN INC | |
| 5600 Norwich Pkwy, Oak Park Heights, MN 55082-6482 | 6512755000 | GROUP HEALTH PLAN INC |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Physicians | 1492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bisrat Fekadu | Family Medicine | Group Health Plan Inc | 8450 Seasons Pkwy, Woodbury, MN 55125-4402 |
| Rachel Elizabeth Kneeland | Internal Medicine | Group Health Plan Inc | 700 Rivard St, Somerset, WI 54025-7382 |
| Laura Anne Chilson | Nurse Practitioner | Group Health Plan Inc | 1430 Hwy 96 E, White Bear Lake, MN 55110-3653 |
| Brian S Myer | General Surgery | Group Health Plan Inc | 640 Jackson St, Saint Paul, MN 55101-2502 |
| Luke Tae Jong Moore | Ophthalmology | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Erin J Schmidt | Family Medicine | Group Health Plan Inc | 700 Wildwood Rd, Mahtomedi, MN 55115-1852 |
| Chad Michael Myeroff | Orthopedic Surgery | Group Health Plan Inc | 435 Phalen Blvd, Saint Paul, MN 55130-5302 |
| Cheryl Settimi | Nurse Practitioner | Group Health Plan Inc | 601 Jacob Ln, Anoka, MN 55303-1621 |
| Jennifer A Novak | Nurse Practitioner | Group Health Plan Inc | 2165 White Bear Ave, Maplewood, MN 55109-2707 |
| Aaron Means | Psychologist, Clinical | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Street Address |
5600 NORWICH PKWY |
| City | OAK PARK HEIGHTS |
| State | MN |
| Zip | 55082-6482 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara E Berg-mcconville | Nurse Practitioner | Group Health Plan Inc | 5600 Norwich Pkwy, Oak Park Heights, MN 55082-6482 |
| Martha H Nicoloff | Nurse Practitioner | Group Health Plan Inc | 5600 Norwich Pkwy, Oak Park Heights, MN 55082-6482 |
| Robin L Buchanan | Nurse Practitioner | Group Health Plan Inc | 5600 Norwich Pkwy, Oak Park Heights, MN 55082-6482 |
| Natale B Garrity | Clinical Psychologist | 5600 Norwich Pkwy, Oak Park Heights, MN 55082-6482 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ross K Hanson | Chiropractic | 13481 60th St N, Suite 300, Stillwater, MN 55082-1089 | |
| Wendy A Seyller | Optometry | 13481 60th St N, Suite 200, Stillwater, MN 55082-1089 | |
| Douglas P Dworak | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Derek Scott Horkey | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Scott Arthur Uttley | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Todd M Watanabe | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Alla Kelly | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Phillip T Sheridan | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Thomas J Rice | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Richard P Stanek | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Find all physicians in zip 55082 | |||
| City | OAK PARK HEIGHTS |
| Zip Code | 55082 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OAK PARK HEIGHTS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Jo M 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.