Gary P Graham (NPI# 1356508287, PAC ID# 2567619695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1356508287 |
| PAC ID by PECOS | 2567619695 |
| Professional Enrollment ID | I20190117003201 |
| Full Name | Gary P Graham |
| Organization Legal Name | IVINSON MEMORIAL HOSPITAL |
| Address |
3116 Willett Dr Laramie WY 82072-5048 |
| Phone Number | 3077426319 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8325304447 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530025 | IVINSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3116 Willett Dr, Laramie, WY 82072-5048 | 3077426319 | IVINSON MEMORIAL HOSPITAL |
| Organization Legal Name | IVINSON MEMORIAL HOSPITAL |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lars E Peterson | Internal Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Beth J Romsa | Nurse Practitioner | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Lisa M Hile | Emergency Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Sameera Fareed Farrukh | Internal Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Patrick W Tufts | Family Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Derek Allen Ewell | Obstetrics/gynecology | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| John J Byers | Family Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Rebecca C Carron | Nurse Practitioner | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| David Christopher Hile | Pain Management | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Paul E Johnson | Otolaryngology | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Street Address |
3116 WILLETT DR |
| City | LARAMIE |
| State | WY |
| Zip | 82072-5048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Timothy Johnson | Cardiac Electrophysiology | Poudre Valley Medical Group LLC | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Rebecca C Carron | Nurse Practitioner | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Paul E Johnson | Otolaryngology | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Eric J Uhlman | Urology | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Elizabeth M Rowe | Certified Nurse Midwife (cnm) | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Samantha J Herriott | Obstetrics/gynecology | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Chelsea A Raymer | Nurse Practitioner | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Peter G Perakos | Gastroenterology | Poudre Valley Medical Group LLC | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Robyn D Curtis-rice | Nurse Practitioner | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Kory Lowe | Physician Assistant | Poudre Valley Medical Group LLC | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Catherine Risley | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Tracy L Amadio | Nurse Practitioner | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Erin M Kyle | Registered Dietitian Or Nutrition Professional | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Kent D Katz | Gastroenterology | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Elizabeth Rogal Smith | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Travis D Klingler | Obstetrics/gynecology | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Anne C Fitzgerald | Psychologist, Clinical | 1465 N 4th St, Suite 113, Laramie, WY 82072-2066 | |
| J'laine Proctor | Nurse Practitioner | 1465 N 4th St, Suite 103, Laramie, WY 82072-2066 | |
| Frances L Price | Psychologist, Clinical | 1465 N 4th St, Suite 101, Laramie, WY 82072-2066 | |
| James K Boo | Physical Therapy | Homestead Physical Therapy PC | 1575 N 4th St, Suite 101, Laramie, WY 82072-2091 |
| Find all physicians in zip 82072 | |||
| City | LARAMIE |
| Zip Code | 82072 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LARAMIE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Gary P 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.