KEVIN ALEXANDER GRAHAM (NPI# 1346653656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346653656 |
| Entity Type | Individual |
| Full Name | KEVIN ALEXANDER GRAHAM |
| Credential | M.D. |
| Practice Address |
619 E Mason St Ste 4p57 Springfield IL 62701-1034 |
| Practice Telephone | 2177880706 |
| Mailing Telephone | 2177880706 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036153172 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 11017562A | IN | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 545 Barnhill Drive, Emerson Hall #215, Indianapolis, IN 46202 | 3172747150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245687136 | Kevin Graham | Nurse Practitioner | 13520 Ne 1st Ave, Miami, FL 33161-2718 | 2016-05-20 |
| 1346586971 | Kevin Eugene Graham | Counselor | 117 Charles St, Lumberton, NC 28358-4538 | 2012-12-31 |
| 1316175771 | Kevin Franklin Graham | Hearing Instrument Specialist | 801-b Broadway, Van Buren, AR 72956 | 2009-06-24 |
| 1346671765 | Kevin Graham | Physician Assistant | 221 3rd St W, Jbsa Randolph, TX 78150-4800 | 2013-12-11 |
| 1770711988 | Kevin A Graham | Anesthesiology | 800 Rose St, Lexington, KY 40536-0004 | 2009-06-25 |
| 1457559692 | Kevin T Graham | Emergency Medicine | 1264 Weaver Dr, Granville, OH 43023-1257 | 2007-07-10 |
| 1205977386 | Kevin P Graham | Physical Therapist | 9514 4th St Ne, Suite 101, Lake Stevens, WA 98258-1937 | 2007-02-09 |
| 1518918275 | Kevin J Graham | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-05-15 |
| Street Address |
619 E MASON ST STE 4P57 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| 1992227417 | Megan D Siegrist | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2017-07-17 |
| 1518405588 | Waleed Alharbi | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2017-02-09 |
| 1700134087 | Nadia El Hangouche | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2012-08-17 |
| 1982969960 | Arti Singh | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2012-07-06 |
| 1801159264 | Jennifer Davis | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2012-06-20 |
| 1346539467 | Mark Jung-ching Shen | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2011-03-29 |
| 1619278074 | Wesley Brian Zwiefel | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2010-11-16 |
| 1700199445 | Bharath Rajagopalan | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2010-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1174075147 | Loralee Donnelly | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701 | 2016-10-26 |
| 1871945725 | Ashley R Bell | Nurse Practitioner | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2016-07-04 |
| Find all providers in zip 62701 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992979645 | Ruchi Thanawala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199-0001 | 2008-04-14 |
| 1669531182 | James N. Pinckley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1900 S. National, Suite 3400, Springfield, MO 65804 | 2006-12-08 |
| 1679531453 | Bruce Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2115 S Fremont Ave Ste 5000, Springfield, MO 65804 | 2006-05-02 |
| 1033190814 | Carl E Arentzen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St, Suite 3p25, Springfield, IL 62701-1034 | 2005-11-09 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1134125727 | Thomas A. Schwann | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 759 Chestnut St # S4628, Springfield, MA 01107 | 2005-06-28 |
| 1871987750 | Amy Durako | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2015-03-27 |
| 1821401761 | Ipc Hospitalists of New England, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 819 Worcester St Ste 3, Springfield, MA 01151-1056 | 2014-06-09 |
| 1033406491 | Siavash Saadat | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 759 Chestnut St, Springfield, MA 01107-1619 | 2011-07-06 |
| 1619143799 | Amit Arora | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1671 N Limestone St, Springfield, OH 45503-2646 | 2008-05-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
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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.