ALECIA ELLEN GRAVES (NPI# 1497749477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497749477 |
Entity Type | Individual |
Full Name | ALECIA ELLEN GRAVES |
Credential | MD |
Practice Address |
4123 Dutchmans Lane Suite 507 Louisville KY 40207-4730 |
Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
Practice Telephone | 5024239595 |
Practice Fax Number | 5027190161 |
Mailing Telephone | 5025889490 |
Mailing Fax Number | 5022725116 |
Enumeration Date | 2005-09-07 |
Last Update Date | 2016-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 31847 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | GROUP MEDICAID PASSPORT | 1166219 | 01 |
KY | MEDICAID PASSPORT | 5002880 | 01 |
KY | CIGNA-WS | 8382591 | 01 |
KY | SIHO - WS | 127014 | 01 |
KY | ANTHEM - WS | 000000724240 | 01 |
KY | PASSPORT - WS | 50034482 | 01 |
KY | HUMANA - WS | 000057120P | 01 |
KY | PASSPORT | 1052052 | 01 |
KY | MEDICARE GRP | 5581 | 01 |
KY | 64318470 | 05 | |
KY | MEDICAID GRP | 65925109 | 01 |
Street Address |
4123 DUTCHMANS LANE SUITE 507 |
City | LOUISVILLE |
State | KY |
Zip Code | 40207-4730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114408747 | Louisville Reproductive Center LLC | Clinic/Center | 4123 Dutchmans Lane, Suite 416, Louisville, KY 40207-4755 | 2018-08-22 |
1154864171 | Bethany White | Nurse Practitioner | 4123 Dutchmans Lane, Suite 515, Louisville, KY 40207-4730 | 2016-11-22 |
1104245679 | Valerie W Morgan | Registered Nurse | 4123 Dutchmans Lane, Suite 515, Louisville, KY 40207-4714 | 2014-04-14 |
1780002980 | Tiffany Shelton | Nurse Practitioner | 4123 Dutchmans Lane, Suite 301, Louisville, KY 40207-4721 | 2014-04-03 |
1700149879 | Rebecca Savoy Siegel | Psychologist | 4123 Dutchmans Lane, Suite 307, Louisville, KY 40207-4721 | 2012-06-22 |
1255599882 | Keri A Marques | Pediatrics | 4123 Dutchmans Lane, Suite 301, Louisville, KY 40207-4721 | 2008-05-30 |
1356469696 | Joseph Watts Greene | Orthopaedic Surgery | 4123 Dutchmans Lane, Suite 401, Louisville, KY 40207 | 2007-03-26 |
1033247721 | Angela Marie Adams | Counselor | 4123 Dutchmans Lane, Suite 515, Louisville, KY 40207-4730 | 2007-03-02 |
1447211198 | Joilynn Marie Evans | Obstetrics & Gynecology | 4123 Dutchmans Lane, Suite 507, Louisville, KY 40207-4730 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
Find all providers in zip 40207 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487285029 | Kenneth Lee Mudd | Obstetrics & Gynecology | 1081 Eastern Pkwy, Louisville, KY 40217-1559 | 2020-02-03 |
1518321959 | Celia M O'brien | Obstetrics & Gynecology | 4130 Dutchmans Ln Ste 400, Louisville, KY 40207-4711 | 2016-04-12 |
1801162540 | Sarah Hargrave | Obstetrics & Gynecology | 4130 Dutchmans Lane, Suite 400, Louisville, KY 40207-4711 | 2012-03-27 |
1942586987 | Robert Kilmer Hunter II | Obstetrics & Gynecology | 4612 Chamberlain Ln, Suite 200, Louisville, KY 40241-1071 | 2011-10-21 |
1467741769 | Sarah Louise Todd | Obstetrics & Gynecology | 529 S Jackson St Fl 3, Louisville, KY 40202-3229 | 2011-04-07 |
1215227558 | Jared Nathan Rollins Bolton | Obstetrics & Gynecology | 601 S Floyd St Ste 350, Louisville, KY 40202-1938 | 2011-04-07 |
1124351168 | Kamla Gauri | Obstetrics & Gynecology | 719 Fehr Rd, Louisville, KY 40206-2987 | 2009-09-09 |
1114114550 | Stephanie Kresch Wilder | Obstetrics & Gynecology | 401east Chestnut Street, Ste 410, Louisville, KY 40202 | 2007-10-01 |
1346448156 | Maureen E Marra | Obstetrics & Gynecology | 2069 Douglass Blvd, Louisville, KY 40205-1927 | 2007-07-03 |
1356472971 | Cornelia Maria Poston | Obstetrics & Gynecology | 4420 Dixie Hwy Ste 128, Louisville, KY 40216-2996 | 2007-03-07 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40207 |
Please comment or provide details below to improve the information on ALECIA ELLEN 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.