ALECIA ELLEN GRAVES


Address: 4123 Dutchmans Lane, Suite 507, Louisville, KY 40207-4730
Phone: 5024239595

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 31847 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 4123 DUTCHMANS LANE
SUITE 507
City LOUISVILLE
State KY
Zip Code 40207-4730

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City LOUISVILLE
Zip Code 40207

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Dataset Information

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.

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