Geoffrey G Graham (NPI# 1003041625, PAC ID# 5496926503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1003041625 |
| PAC ID by PECOS | 5496926503 |
| Professional Enrollment ID | I20161229000972 |
| Full Name | Geoffrey G Graham |
| Organization Legal Name | DIGESTIVE HEALTH PROFESSIONALS LLC |
| Address |
2216 E 32nd St Suite 201 Joplin MO 64804-3015 |
| Phone Number | 417781711019 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678652070 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260137 | FREEMAN HEALTH SYSTEM-FREEMAN WEST |
| 261331 | FREEMAN NEOSHO HOSPITAL |
| 171380 | NEOSHO MEMORIAL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2216 E 32nd St, Suite 201, Joplin, MO 64804-3015 | 417781711019 | DIGESTIVE HEALTH PROFESSIONALS LLC |
| Organization Legal Name | DIGESTIVE HEALTH PROFESSIONALS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Seidl | Gastroenterology | Digestive Health Professionals LLC | 2216 E 32nd St, Suite 201, Joplin, MO 64804-3015 |
| Street Address |
2216 E 32ND ST SUITE 201 |
| City | JOPLIN |
| State | MO |
| Zip | 64804-3015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seth M Jenks | Nurse Practitioner | Elite Pain Management LLC | 2216 E 32nd St, Suite 101, Joplin, MO 64804-3015 |
| Robert E Benedett | Ophthalmology | 2216 E 32nd St, Suite 202, Joplin, MO 64804-3015 | |
| Sudhakar Ancha | Gastroenterology | 2216 E 32nd St, Suite 103, Joplin, MO 64804-3007 | |
| Nancy C Boss | Nurse Practitioner | Elite Pain Management LLC | 2216 E 32nd St, Suite 101, Joplin, MO 64804-3015 |
| David A Seidl | Gastroenterology | Digestive Health Professionals LLC | 2216 E 32nd St, Suite 201, Joplin, MO 64804-3015 |
| Bill Meredith | Ophthalmology | 2216 E 32nd St, Suite 202, Joplin, MO 64804-3015 | |
| Amanda S Gilbert | Nurse Practitioner | Elite Pain Management LLC | 2216 E 32nd St, Suite 101, Joplin, MO 64804-3015 |
| Ashley M Benford | Nurse Practitioner | Ali Internal Medicine Associates, PC | 2216 E 32nd St, Suite 101, Joplin, MO 64804-3015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Whisman | Psychologist, Clinical | 3405 S Hammons Blvd, Kevin M Whisman Psyd, Joplin, MO 64804 | |
| Matthew Richins | Podiatry | 2024 S Maiden Ln, Suite 201, Joplin, MO 64804-0319 | |
| Samuel R Carter | Internal Medicine | 2024 S Maiden Ln, Suite 203, Joplin, MO 64804-0319 | |
| Valerie J Fleming | Nurse Practitioner | 2024 S Maiden Ln, Joplin, MO 64804-0319 | |
| Kathleen Lacey | Psychologist, Clinical | 1730 S Jackson Ave, Joplin, MO 64804-0555 | |
| Kim Wright | Clinical Social Worker | Renewed Mental Health LLC | 1530 S Main St, Joplin, MO 64804-0750 |
| Kimberly A Wood | Internal Medicine | 2615 E 20th St, Joplin, MO 64804-1039 | |
| Laurie L Behm | Physical Medicine and Rehabilitation | Freeman-oak Hill Health System | 1905 W 32nd St, Suite 403, Joplin, MO 64804-1501 |
| Daniel R Osborn | Ophthalmology | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Chad L Carter | Optometry | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Find all physicians in zip 64804 | |||
| City | JOPLIN |
| Zip Code | 64804 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | JOPLIN + GASTROENTEROLOGY |
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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.