MR. GREG GRAVES (NPI# 1215351994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215351994 |
| Entity Type | Individual |
| Full Name | MR. GREG GRAVES |
| Credential | PA |
| Practice Address |
75 Pringle Way Ste 107 Reno NV 89502-8424 |
| Mailing Address |
555 N Arlington Ave Reno NV 89503-4724 |
| Practice Telephone | 7578630407 |
| Mailing Telephone | 7757863040 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1511 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75 PRINGLE WAY STE 107 |
| City | RENO |
| State | NV |
| Zip Code | 89502-8424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467558668 | Renown Businesses | Durable Medical Equipment & Medical Supplies | 75 Pringle Way Ste 107, Reno, NV 89502-8424 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194831529 | Suzanne E Flint | Physician Assistant | 555 N. Arlington Avenue, Reno, NV 89503-4724 | 2006-08-21 |
| 1609829274 | Cameron Michael Bergin | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2006-05-17 |
| 1336111061 | Terri L Elliott | Physician Assistant | 689 Sierra Rose Dr Ste B, Reno, NV 89511-2076 | 2006-02-06 |
| 1740271618 | Joseph Lawrence Olivarez | Physician Assistant | 9990 Double R Blvd, Suite 200, Reno, NV 89521-6014 | 2005-10-31 |
| 1962063016 | Jordan Kazuo Williams | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-27 |
| 1770143356 | Cory Charles Wilcox | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-17 |
| 1417513383 | Sydnii Mari Ray | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-05-15 |
| 1700343720 | Rachel Difelice | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-02-26 |
| 1265916803 | Matthew Thomas Pearce | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-09-19 |
| 1174001614 | Caitlin M Clarkin | Physician Assistant | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on MR. GREG GRAVES.
| 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.