JOSEPH A GRAHAM (NPI# 1225096860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225096860 |
| Entity Type | Individual |
| Full Name | JOSEPH A GRAHAM |
| Credential | D.O. |
| Practice Address |
1340 Broad Avenue Suite 220 Gulfport MS 39501 |
| Mailing Address |
Po Box 1810 Gulfport MS 39502-1810 |
| Practice Telephone | 2285751300 |
| Practice Fax Number | 2288676423 |
| Mailing Telephone | 2285751300 |
| Mailing Fax Number | 2288676423 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 059594 | FL | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
20350 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 5108802 | 05 | |
| FL | 276169600 | 05 | |
| FL | BCBS PROVIDER # | 53064 | 01 |
| FL | AETNA PROVIDER # | 7616821 | 01 |
| FL | CIGNA PROVIDER # | 2977616 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912338005 | Joseph Cole Graham | Massage Therapist | 304 W Holly Oak Rd, Wilmington, DE 19809-1365 | 2013-11-28 |
| 1215172366 | Joseph Graham | Social Worker | 400 Hightway 64 East, Augusta, AR 72006-5150 | 2008-12-03 |
| 1043337520 | Joseph Michael Graham Jr. | Physical Therapist | 3120 Gracefield Rd, Silver Spring, MD 20904-5810 | 2007-03-22 |
| 1578638383 | Joseph E Graham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5405 South 500 East, #200, Ogden, UT 84405 | 2006-11-21 |
| 1154948685 | Joseph Benjiman Graham | Counselor | 7440 W Marginal Way S, Seattle, WA 98108-4141 | 2020-06-30 |
| 1285167718 | Joseph Graham Jr. | Counselor | 17335 Pagonia Dr, Clermont, FL 34711-6011 | 2017-04-11 |
| 1578095295 | Joseph L Graham | Physical Medicine & Rehabilitation | 1401 S California Ave, Chicago, IL 60608-1858 | 2017-03-31 |
| 1538554365 | Joseph Graham Sr. | Nurse Practitioner | 1787 Sentry Pkwy W, Building 16, Suite 400, Blue Bell, PA 19422-2239 | 2015-03-30 |
| 1093125015 | Joseph Graham | Anesthesiology | 3705 Medical Pkwy, Austin, TX 78705-1019 | 2014-04-29 |
| 1467883421 | Joseph Graham | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2013-12-02 |
| Street Address |
1340 BROAD AVENUE SUITE 220 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205997251 | Chelsea R Grow | Psychiatry & Neurology | 1340 Broad Avenue, Ste 440, Gulfport, MS 39501 | 2006-12-13 |
| 1770670333 | Gulf Coast Brain & Spine Institute | Neurological Surgery | 1340 Broad Avenue, Gulfport, MS 39501 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639401318 | Memorial Hospital At Gulfport | Surgery | 1340 Broad Ave, Suite 400, Gulfport, MS 39501-2404 | 2010-02-05 |
| 1275795148 | Dimitrios Virvilis | Surgery | 1340 Broad Ave, Suite 220, Gulfport, MS 39501-2404 | 2008-07-01 |
| 1558491589 | Alton Henry Dauterive | Surgery | 1340 Broad Ave, Suite 220, Gulfport, MS 39501-2404 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104323534 | Best Vein Care of Mississippi, LLC | Surgery | 204 W Jackson St Ste A, Ridgeland, MS 39157-2310 | 2018-04-11 |
| 1457714172 | Flowood Medical Management LLC | Surgery | 4800 Lakeland Dr, Flowood, MS 39232-8694 | 2016-03-30 |
| 1982009031 | Magnolia General and Vascular Surgery Clinic | Surgery | 611 Alcorn Dr Ste 210, Corinth, MS 38834-9323 | 2014-10-31 |
| 1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
| 1952557092 | Medical Foundation of Central Mississippi, Inc | Surgery | 501 Marshall St Ste 100, Jackson, MS 39202-1687 | 2008-08-08 |
| 1730243064 | Frank A Nichols | Surgery | 1040 A So Madison, Tupelo, MS 38801 | 2006-12-21 |
| 1427073386 | Edward E Rigdon | Surgery | 348 Crossgates Blvd, Suite 2500, Brandon, MS 39042-2700 | 2006-07-13 |
| 1174556377 | Seshadri Raju, M.d., Pa. | Surgery | 971 Lakeland Dr Ste 401, Jackson, MS 39216 | 2006-07-09 |
| 1790760692 | Surgery Associates Pa | Surgery | 440 Pegram Dr, Tupelo, MS 38801-6319 | 2005-12-13 |
| 1396226791 | North Mississippi Medical Center, Inc | Surgery | 616 Alcorn Dr, Corinth, MS 38834-9393 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOSEPH A GRAHAM.
| 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.