Laura L Graham (NPI# 1023089125, PAC ID# 1456337351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1023089125 |
| PAC ID by PECOS | 1456337351 |
| Professional Enrollment ID | I20040629001196 |
| Full Name | Laura L Graham |
| Organization Legal Name | WELLCARE PHYSICIANS GROUP LLC |
| Address |
5755 Monclova Rd Maumee OH 43537-1837 |
| Gender | F |
| Credential | PA |
| Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1456442771 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360090 | ST LUKE'S HOSPITAL |
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5705 Monclova Rd, Maumee, OH 43537-1875 | 4198933321 | WELLCARE PHYSICIANS GROUP LLC |
| 5755 Monclova Rd, Maumee, OH 43537-1837 | WELLCARE PHYSICIANS GROUP LLC | |
| 5759 Monclova Rd, Maumee, OH 43537-1837 | 4198935986 | WELLCARE PHYSICIANS GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | WELLCARE PHYSICIANS GROUP LLC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Olson | Orthopedic Surgery | Wellcare Physicians Group LLC | 5871 Monclova Rd, Maumee, OH 43537-1839 |
| Ann M Steck | Family Medicine | Wellcare Physicians Group LLC | 5757 Monclova Rd, Suite 11, Maumee, OH 43537-1863 |
| David Richard Sell | Physician Assistant | Wellcare Physicians Group LLC | 5901 Monclova Rd, Maumee, OH 43537-1841 |
| Shalini S Singh | Family Medicine | Wellcare Physicians Group LLC | 5757 Monclova Rd, Suite 11, Maumee, OH 43537-1863 |
| Juli A Smelser | Nurse Practitioner | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Anna L Nelson | Family Medicine | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Elizabeth M Read | Obstetrics/gynecology | Wellcare Physicians Group LLC | 5901 Monclova Rd, Maumee, OH 43537-1841 |
| Hana J Awada Mitchell | Certified Nurse Midwife (cnm) | Wellcare Physicians Group LLC | 5901 Monclova Rd, Maumee, OH 43537-1841 |
| Vithya Balasubramaniam Rodriguez | Psychiatry | Wellcare Physicians Group LLC | 100 Morse St, Suite 105, Norwood, MA 02062-4679 |
| Amanda R Kruse | Nurse Practitioner | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Street Address |
5755 MONCLOVA RD |
| City | MAUMEE |
| State | OH |
| Zip | 43537-1837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Frank Koltz | Plastic and Reconstructive Surgery | Wellcare Physicians Group LLC | 5755 Monclova Rd, Maumee, OH 43537-1837 |
| Richard A Paat | Internal Medicine | Wellcare Physicians Group LLC | 5755 Monclova Rd, Maumee, OH 43537-1837 |
| Asish Mukherjee | Colorectal Surgery (proctology) | Wellcare Physicians Group LLC | 5755 Monclova Rd, Maumee, OH 43537-1837 |
| Michelle L Deaton | Nurse Practitioner | Wellcare Physicians Group LLC | 5755 Monclova Rd, Maumee, OH 43537-1837 |
| Gary Franklin Swann | Obstetrics/gynecology | Wellcare Physicians Group LLC | 5755 Monclova Rd, Maumee, OH 43537-1837 |
| Ahmad Zakeri | Neurosurgery | Wellcare Physicians Group LLC | 5755 Monclova Rd, Maumee, OH 43537-1837 |
| Billie Jo Buehrer | Orthopedic Surgery | Wellcare Physicians Group LLC | 5755 Monclova Rd, Maumee, OH 43537-1837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy F Wynkoop | Psychologist, Clinical | Po Box, Suite 332, Maumee, OH 43537-0332 | |
| David E Muck | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Luke Amodeo | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Jane A Broering-ammons | Psychiatry | 1627 Henthorne Dr B, Maumee, OH 43537-1370 | |
| Wade L Banker | Interventional Radiology | 1500 Holland Rd, Maumee, OH 43537-1619 | |
| Hany J Jacob | Critical Care (intensivists) | 1661 Holland Rd, Suite 300, Maumee, OH 43537-1659 | |
| Rebecca M Burgoon | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Heather L Paulus | Optometry | 1657 Holland Rd, Suite D, Maumee, OH 43537-1661 | |
| Belinda A Heywood | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Erin E Hill | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Find all physicians in zip 43537 | |||
| City | MAUMEE |
| Zip Code | 43537 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MAUMEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laura L 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.