Jessica Laura Graves (NPI# 1407120066, PAC ID# 3375790975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1407120066 |
| PAC ID by PECOS | 3375790975 |
| Professional Enrollment ID | I20171109001477 |
| Full Name | Jessica Laura Graves |
| Organization Legal Name | MAUI MEDICAL GROUP INC |
| Address |
110 E Kaahumanu Ave Kahului HI 96732-2118 |
| Phone Number | 8082426464 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214823368 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 110 E Kaahumanu Ave, Kahului, HI 96732-2118 | 8082426464 | MAUI MEDICAL GROUP INC |
| 2180 Main St, Wailuku, HI 96793-1625 | 8082426464 | MAUI MEDICAL GROUP INC |
| Organization Legal Name | MAUI MEDICAL GROUP INC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maxi L Lohrengel West | Physician Assistant | Maui Medical Group Inc | 2349 S Kihei Rd, Kihei, HI 96753-7202 |
| Judy Lavenson | Physician Assistant | Maui Medical Group Inc | 130 Prison St, Lahaina, HI 96761-1247 |
| Lundie Robb | Diagnostic Radiology | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Deborah Mathias | General Practice | Maui Medical Group Inc | 55 Pukalani St, Makawao, HI 96768-8544 |
| Dara M Vino | Physician Assistant | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Ioannis Karakalpakis | Internal Medicine | Maui Medical Group Inc | 221 Mahalani St, Wailuku, HI 96793-2526 |
| Nolan P Arruda | Internal Medicine | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Shannon Leigh Mccormick | Qualified Audiologist | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Anna Hom | Internal Medicine | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Joshua Farrell-starbuck | Internal Medicine | Maui Medical Group Inc | 221 Mahalani St, Wailuku, HI 96793-2526 |
| Street Address |
110 E KAAHUMANU AVE |
| City | KAHULUI |
| State | HI |
| Zip | 96732-2118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dilworth T Rogers Jr. | Neurosurgery | 39 W Kamehameha Av, Kahului, HI 96732 | |
| Dorene Toutant | Clinical Social Worker | 135 S Wakea Ave, Suite 208, Kahului, HI 96732-1385 | |
| Angela M Peters | Physical Therapy | 135 S Wakea Ave Unit, Suite 112, Kahului, HI 96732-1385 | |
| Luukia Ruidas | Family Medicine | 135 S Wakea Ave, 111 Kupuola Primary Care, Kahului, HI 96732-1385 | |
| Noreen M Erony | Clinical Social Worker | 135 S Wakea Ave, Suite 101, Kahului, HI 96732-1385 | |
| Benjamin T Gamboa | Internal Medicine | 135 S Wakea Ave, Suite 107, Kahului, HI 96732-1385 | |
| Loc P Truong | Optometry | 275 W Kaahumanu Ave, Suite 1010, Kahului, HI 96732-1612 | |
| Juyhun B Kim | Physical Therapy | Amc Corporation | 285 W Kaahumanu Ave, Suite 205, Kahului, HI 96732-1623 |
| Amber M Panebianco | Physical Therapy | Amc Corporation | 285 W Kaahumanu Ave, Suite 205, Kahului, HI 96732-1623 |
| Brooke Bedingfield | Physical Therapy | Amc Corporation | 285 W Kaahumanu Ave, Suite 205, Kahului, HI 96732-1623 |
| Find all physicians in zip 96732 | |||
| City | KAHULUI |
| Zip Code | 96732 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KAHULUI + PHYSICIAN ASSISTANT |
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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.