Autumn C Graham (NPI# 1578567012, PAC ID# 8820049356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1578567012 |
| PAC ID by PECOS | 8820049356 |
| Professional Enrollment ID | I20190807003454 |
| Full Name | Autumn C Graham |
| Organization Legal Name | EMERGENCY PHYSICIANS OF TIDEWATER |
| Address |
2800 Godwin Blvd Suffolk VA 23434-8038 |
| Phone Number | 7576863508 |
| Gender | F |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5092618462 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490046 | SENTARA LEIGH HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| 490044 | SENTARA OBICI HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 7576863508 | EMERGENCY PHYSICIANS OF TIDEWATER |
| 3920 Bridge Rd, Suffolk, VA 23435-1117 | 7576863508 | EMERGENCY PHYSICIANS OF TIDEWATER |
| Organization Legal Name | EMERGENCY PHYSICIANS OF TIDEWATER |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Cameron Bunch | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Clay Lifton | Emergency Medicine | Emergency Physicians of Tidewater | 800 Independence Blvd, Virginia Beach, VA 23455-6011 |
| Peter Andrew Ballantyne | Emergency Medicine | Emergency Physicians of Tidewater | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 |
| Alex Reichmeider | Emergency Medicine | Emergency Physicians of Tidewater | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Logan Ross Mcneive | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Susan J Letterle | Emergency Medicine | Emergency Physicians of Tidewater | 830 Kempsville Rd, Norfolk, VA 23502-3920 |
| Francis Lee Counselman | Emergency Medicine | Emergency Physicians of Tidewater | 600 Gresham Dr, Norfolk, VA 23507-1904 |
| David Taylor Gammons | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Theodore Jon Tzavaras | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, Suffolk, VA 23435-1117 |
| Eric Szymanski | Emergency Medicine | Emergency Physicians of Tidewater | 800 Independence Blvd, Virginia Beach, VA 23455-6011 |
| Street Address |
2800 GODWIN BLVD |
| City | SUFFOLK |
| State | VA |
| Zip | 23434-8038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fisseha Y Ghidey | Hospitalist | Sentara Medical Group | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Alex Reichmeider | Emergency Medicine | Emergency Physicians of Tidewater | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| John David Waegerle | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| David G Marcheschi | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| James Post | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| James Smith | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Jimmy W. Green | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Robin D Gibbs | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Katherine A Naidu | Anesthesiology | Smg Anesthesia Specialists LLC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| David E Jennings | Emergency Medicine | Emergency Physicians of Tidewater | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tysheena Lanee Jones | Nurse Practitioner | 4209 Ravine Gap Dr, Suffolk, VA 23434-3055 | |
| Geranameo Vladmire Bullock | Psychiatry | Charis Mental Health Pllc | 2470 Pruden Blvd, Suffolk, VA 23434-4206 |
| Lakeisha Keneti | Nurse Practitioner | Charis Mental Health Pllc | 2470 Pruden Blvd, Suffolk, VA 23434-4206 |
| Thamiris V Palacios-kibler | Allergy/immunology | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
| Alice V Wilkins-bryson | Nurse Practitioner | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
| John R Sweeney Jr. | Allergy/immunology | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
| Brandee Leigh Winkler | Physician Assistant | Maryview Hospital | 2012 Meade Pkwy, Suffolk, VA 23434-4259 |
| Gary Brinkley | Physician Assistant | Franklin Clinic Corp | 2000 Meade Pkwy, Suffolk, VA 23434-4259 |
| Gary Sajko | Ophthalmology | Schneider Eye Physicians P C | 2016 Meade Pkwy, Suffolk, VA 23434-4259 |
| Susan C Vick | Occupational Therapy | Tidewater Physical Therapy LLC | 2007 Meade Pkwy, Suffolk, VA 23434-4259 |
| Find all physicians in zip 23434 | |||
| City | SUFFOLK |
| Zip Code | 23434 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SUFFOLK + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Autumn C 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.