Leroy Graham Jr. (NPI# 1043325434, PAC ID# 3779543343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043325434 |
| PAC ID by PECOS | 3779543343 |
| Professional Enrollment ID | I20041018000797 |
| Full Name | Leroy Graham Jr. |
| Address |
15408 Warwick Blvd Newport News VA 23608-1576 |
| Gender | M |
| Credential | MD |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490093 | SENTARA CAREPLEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15408 Warwick Blvd, Newport News, VA 23608-1576 |
| Street Address |
15408 WARWICK BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip | 23608-1576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uzoamaka C Agbasi | Nurse Practitioner | Peninsula Institute for Community Health Inc | 15425 Warwick Blvd, Suite H, Newport News, VA 23608-1579 |
| Michael I Parson | Family Practice | Peninsula Institute for Community Health Inc | 15425 Warwick Blvd, Suite H, Newport News, VA 23608-1579 |
| Kenneth Arndt | Optometry | Zoe Inc. | 422 Oriana Rd, Newport News, VA 23608-3733 |
| Kristy E Ambrose | Optometry | Zoe Inc. | 422 Oriana Rd, Newport News, VA 23608-3733 |
| John D Seago | Optometry | Zoe Inc. | 422 Oriana Rd, Newport News, VA 23608-3733 |
| Jacob D Almeida | Internal Medicine | Tidewater Physicians Multispecialty Group, PC | 555 Denbigh Blvd, Suite C, Newport News, VA 23608-4201 |
| William L Davenport | Oral Surgery | Tdt Oms | 716 Denbigh Blvd, C1 Hampton Roads Oral and Maxillofacial, Newport News, VA 23608-4414 |
| Kenneth L Tankersley | Maxillofacial Surgery | Tdt Oms | 716 Denbigh Blvd, C1 Hampton Roads Oral and Maxillofacial, Newport News, VA 23608-4414 |
| Maynard Phelps | Maxillofacial Surgery | Tdt Oms | 716 Denbigh Blvd, C1 Hampton Roads Oral and Maxillofacial, Newport News, VA 23608-4414 |
| Robert C Shwayder | Obstetrics/gynecology | 716 Denbigh Blvd, Suite E2, Newport News, VA 23608-4414 | |
| Find all physicians in zip 23608 | |||
| City | NEWPORT NEWS |
| Zip Code | 23608 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEWPORT NEWS + FAMILY MEDICINE |
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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.