MICHELLE L GRAHAM (NPI# 1164408258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164408258 |
| Entity Type | Individual |
| Full Name | MICHELLE L GRAHAM |
| Credential | MD |
| Practice Address |
1781 Countryside Dr Lancaster OH 43130-4056 |
| Practice Telephone | 7406878600 |
| Practice Fax Number | 7406538236 |
| Mailing Telephone | 7406878600 |
| Mailing Fax Number | 7406538236 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2008-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35076652 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2190454 | 05 | |
| ANTHEM | 000000317283 | 01 | |
| CARESOURCE | 510450201030 | 01 | |
| RAILROAD MEDICARE | P00085750 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952879108 | Michelle Graham | Behavior Technician | 1621 Druid Hill Ave, Baltimore, MD 21217-3414 | 2018-11-06 |
| 1003306283 | Michelle Dasham Graham | Home Health Aide | 17303 Deforest Ave, Cleveland, OH 44128-2517 | 2018-05-14 |
| 1811305469 | Michelle Graham | Licensed Practical Nurse | 427 Se 47th Ter, Gainesville, FL 32641-7811 | 2014-07-28 |
| 1669024626 | Michelle Y Graham | Case Manager/Care Coordinator | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2019-07-10 |
| 1346805751 | Michelle Kuuipo Kalua Graham | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2019-05-01 |
| 1255894994 | Michelle Sloan Graham | Nurse Practitioner | 2941 Point Mallard Pkwy Se Ste N, Decatur, AL 35603-5760 | 2019-04-10 |
| 1538658224 | Michelle Lee Graham | Health Educator | 119 Washington St, Watertown, NY 13601-3323 | 2018-05-08 |
| 1659880987 | Michelle Rene Graham | Counselor | 307 S 12th Ave Ste 4b, Yakima, WA 98902-3137 | 2017-09-29 |
| 1821547456 | Michelle Graham | Occupational Therapist | 700 Columbus Ave, Apt. 17e, New York, NY 10025-6662 | 2016-09-23 |
| 1417396110 | Michelle Graham | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2013-06-17 |
| Street Address |
1781 COUNTRYSIDE DR |
| City | LANCASTER |
| State | OH |
| Zip Code | 43130-4056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715081 | Michele L Messerly | Nurse Practitioner | 1781 Countryside Dr, Lancaster, OH 43130-1186 | 2019-02-07 |
| 1891157426 | Susan Choe | Family Medicine | 1781 Countryside Dr, Lancaster, OH 43130-1186 | 2016-03-23 |
| 1184030447 | Amy Lynn Mikesell | Nurse Practitioner | 1781 Countryside Dr, Lancaster, OH 43130-1186 | 2014-07-08 |
| 1225360704 | Jennifer L Goodwin | Physician Assistant | 1781 Countryside Dr, Lancaster, OH 43130-1186 | 2010-02-08 |
| 1881670974 | Agnes M Laus | Pediatrics | 1781 Countryside Dr, Lancaster, OH 43130-4056 | 2005-12-20 |
| 1780660886 | Martin E Menosky | Family Medicine | 1781 Countryside Dr, Lancaster, OH 43130-4056 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174027 | Omnis Medical Group | Family Medicine | 401 North Ewing Street, Lancaster, OH 43130 | 2020-05-05 |
| 1609408293 | Matthew Scott Schaitel | Massage Therapist | 323 South Broad Street, Lancaster, OH 43130 | 2020-02-11 |
| 1881226058 | Hollie Michelle Aneshansley | Massage Therapist | 323 South Broad St, Lancaster, OH 43130 | 2020-02-06 |
| 1184180127 | Natural Remedies Massage | Clinic/Center | 323 S. Broad St., Lancaster, OH 43130 | 2019-02-14 |
| 1861958126 | Jaclyn R Lamphier | Massage Therapist | 323 S. Broad St, Lancaster, OH 43130 | 2019-02-12 |
| 1457849549 | Regina A Rienschield | Counselor | Fairfield County Counseling Center, 117 W Main St, Suite 107, Lancaster, OH 43130 | 2018-04-25 |
| 1255830212 | Rem Ohio Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1431 Pleasant Springs Blvd, Lancaster, OH 43130 | 2018-02-06 |
| 1275032328 | Rem Ohio Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1410 Pleasant Springs Blvd, Lancaster, OH 43130 | 2018-02-05 |
| 1295241966 | Mark Jason Kraft | Hearing Instrument Specialist | 618 East Main St., Lancaster, OH 43130 | 2017-12-18 |
| 1447611520 | Cindy Reef | Counselor | 624 E. Main Street, Lancaster, OH 43130 | 2016-03-16 |
| Find all providers in zip 43130 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1477174027 | Omnis Medical Group | Family Medicine | 401 North Ewing Street, Lancaster, OH 43130 | 2020-05-05 |
| 1134765456 | Lancaster General Medical Group | Family Medicine | 100 N Queen St Ste 200, Lancaster, PA 17603-3550 | 2019-11-21 |
| 1578116927 | Pamela Joann Jacobs | Family Medicine | 77 Westwood Rd, Lancaster, NY 14086-9522 | 2019-07-23 |
| 1730642786 | Covenantmd, LLC | Family Medicine | 930 Red Rose Ct Ste 104, Lancaster, PA 17601-1981 | 2019-04-08 |
| 1720542244 | Bryan C Benefiel, M.d. Inc. | Family Medicine | 44725 10th St W Ste 290, Lancaster, CA 93534-3049 | 2019-01-29 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1689167751 | Jacqueline Palmer | Family Medicine | 45465 25th St E Spc 168, Lancaster, CA 93535-2392 | 2018-06-12 |
| 1154851384 | Pinnacle Health Regional Physicians | Family Medicine | 250 College Ave Ste 300, Lancaster, PA 17603-3363 | 2017-06-20 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.