MR. JAMES MICHAEL GRACZYK (NPI# 1376054924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376054924 |
Entity Type | Individual |
Full Name | MR. JAMES MICHAEL GRACZYK |
Credential | LADAC |
Practice Address |
1910 Callahan Dr Knoxville TN 37912-1103 |
Practice Telephone | 8652832128 |
Mailing Telephone | 8652832128 |
Enumeration Date | 2017-10-21 |
Last Update Date | 2017-10-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LDC0000001267 | TN | Behavioral Health & Social Service Providers |
Street Address |
1910 CALLAHAN DR |
City | KNOXVILLE |
State | TN |
Zip Code | 37912-1103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265098388 | Emily Katherine Hayes | Nurse Practitioner | 6626 Old Central Avenue Pike, Knoxville, TN 37912 | 2019-05-14 |
1063891620 | Sondra Haley | Counselor | 4610 Central Avenue Pike, Knoxville, TN 37912 | 2015-05-28 |
1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
1265876940 | Annette Elise Long | Counselor | 4303 Central Ave.pike, Knoxville, TN 37912 | 2013-04-24 |
1346510393 | Lisa Taylor | Social Worker | 5800 Central Avenue Pike, Knoxville, TN 37912 | 2012-01-09 |
1447437447 | David Wesley Dickey IIi | Dentist | 5317 Clinton Hwy, Knoxville, TN 37912 | 2008-01-22 |
1962683573 | Eyexcel, Pllc | Optometrist | 715 Callahan Dr., Knoxville, TN 37912 | 2007-11-26 |
1538384995 | Chamberlain Chiropractic Clinic Inc | Chiropractor | 4409 Central Ave Pk, Suite 102, Knoxville, TN 37912 | 2007-04-13 |
1336232834 | Wesley Bruce Mclaughlin | Chiropractor | 2330 Merchants Dr., Knoxville, TN 37912 | 2006-10-02 |
1972073815 | Pell Enterprises | Home Health | 4303 Central Avenue Pike, Kno, TN 37912 | 2018-12-04 |
Find all providers in zip 37912 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154968535 | Shannon Deann Stewart | Counselor | 813 N Lincoln St Ste 9, Knoxville, IA 50138-1421 | 2019-12-05 |
1518482504 | Reico Hopewell | Counselor | 308 Knox Rd, Knoxville, TN 37918-2316 | 2017-08-10 |
1528594645 | Emory Boykins Young II | Counselor | 3535 Ne Kenilworth Ln, Knoxville, TN 37914 | 2017-05-10 |
1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
1861790859 | Kristen Ruth Robinson | Counselor | 3500 Glengarry Ct, Knoxville, TN 37921-1050 | 2011-03-01 |
1740518042 | Laura Ann Howard | Counselor | 6626 Central Avenue Pike, Knoxville, TN 37912-1400 | 2009-11-24 |
1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
1255547832 | Margaret Elaine Ragner | Counselor | 104 South 6th, Knoxville, IA 50138 | 2007-05-14 |
1619954609 | Diana J Depugh | Counselor | 4928 Homberg Dr, Suie 4-a, Knoxville, TN 37919-5100 | 2005-12-29 |
1972113173 | Clay Martin Mings | Counselor | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-08-03 |
Find all providers in KNOXVILLE |
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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.