JAMES GRAVENER (NPI# 1306384631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306384631 |
| Entity Type | Individual |
| Full Name | JAMES GRAVENER |
| Practice Address |
234 S Main St Slippery Rock PA 16057-1247 |
| Practice Telephone | 2679391435 |
| Mailing Telephone | 2679391435 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS041141 | PA | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
DA031831 | PA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3501 Terrace St, Salk Hall, Pittsburgh, PA 152132523 | 4126488616 |
| Street Address |
234 S MAIN ST |
| City | SLIPPERY ROCK |
| State | PA |
| Zip Code | 16057-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239963 | Paul F Havey | Dentist | 234 S Main St, Slippery Rock, PA 16057-1247 | 2006-03-23 |
| 1356956023 | Pennsylvania Mobile Anesthesia Associates, LLC | Dentist | 234 S Main St, Slippery Rock, PA 16057-1247 | 2020-09-10 |
| 1194264788 | Christa Marano | Dentist | 234 S Main St, Slippery Rock, PA 16057-1247 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427596162 | Michelle Barron | Registered Nurse | 204 Campus Drive, Mclachlan Student Health Center, Slippery Rock, PA 16057 | 2017-02-02 |
| 1386191427 | Adam Mcdowell | Specialist/Technologist | 154 Barron Rd, Slippery Rock, PA 16057 | 2016-09-07 |
| 1457699746 | Tri Rivers Physicl Therapy, LLC | Physical Therapist | 1000 Innovation Drive, Suite 104, Slippery Rock, PA 16057 | 2013-01-22 |
| 1134399835 | David L Gordley Dds LLC | Dentist | 211 Grove City Rd, Slippery Rock, PA 16057 | 2008-03-10 |
| 1124171632 | Allied Dental Group | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2007-01-19 |
| 1831273226 | Bonnie J Siple | Specialist/Technologist | 112 West Gym, Slippery Rock University of Pa, Slippery Rock, PA 16057 | 2006-10-24 |
| 1245292051 | Michael Scott Zema | Specialist/Technologist | Dept. of Exercise and Rehabilitative Sciences, Room 117 West Gym, Slippery Rock, PA 16057 | 2006-04-05 |
| 1871570747 | Daniel Ferguson | Internal Medicine | 621 Kelly Blvd, Slippery Rock, PA 16057 | 2005-12-30 |
| 1386639706 | Paul Andrew Cacolice | Specialist/Technologist | 304 Patterson Hall, Exercise and Rehab Sciences, Slippery Rock University, Slippery Rock, PA 16057 | 2005-09-12 |
| 1417203480 | Brent Kanar | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2012-07-27 |
| Find all providers in zip 16057 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956023 | Pennsylvania Mobile Anesthesia Associates, LLC | Dentist | 234 S Main St, Slippery Rock, PA 16057-1247 | 2020-09-10 |
| 1194264788 | Christa Marano | Dentist | 234 S Main St, Slippery Rock, PA 16057-1247 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174188486 | Day Dental Anesthesia | Dentist | 2636 Killen School Road, Nicktown, PA 15762 | 2019-05-02 |
| 1487172359 | Kiddos PC | Dentist | 6583 State Route 819 S Ste 1, Mt Pleasant, PA 15666-3503 | 2017-08-31 |
| 1336532712 | Soonjae Joseph Lee | Dentist | 1710 E Lancaster Ave # 311, Paoli, PA 19301-1507 | 2015-03-10 |
| 1285047431 | Premiere Anesthesia for Dentistry | Dentist | 106 Village Pl, Wexford, PA 15090-5611 | 2014-06-05 |
| 1215379060 | Christopher Gushue | Dentist | 2804 Ledge Dr, Clarks Summit, PA 18411-9573 | 2013-07-22 |
| 1386089431 | Breanna M Weiland | Dentist | 549 Ridge Rd, Nicktown, PA 15762-8605 | 2013-05-02 |
| 1083792634 | Jeffrey William Martz | Dentist | 10154 Woodbury Dr, Wexford, PA 15090-9580 | 2006-11-01 |
| 1619910270 | Lawson Alan Wilkinson | Dentist | 2 Parkway Ctr, Suite G-1, Pittsburgh, PA 15220-3510 | 2006-06-13 |
| 1114982873 | Thomas Frank Cwalina | Dentist | 257 Pittsburgh Rd, Butler, PA 16002-3953 | 2006-04-18 |
| 1952929853 | Christopher L Lewis Dmd | Dentist | 159 Dutch Rd, Harmony, PA 16037-9215 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | SLIPPERY ROCK |
| Zip Code | 16057 |
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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.