DR. JEAN GRAHAM (NPI# 1508920661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508920661 |
| Entity Type | Individual |
| Full Name | DR. JEAN GRAHAM |
| Credential | M.D. |
| Practice Address |
4801 N Butler Ave Farmington NM 87401-6002 |
| Mailing Address |
1654 County Road 120 Hesperus CO 81326-9752 |
| Practice Telephone | 5053248375 |
| Mailing Telephone | 9702597136 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 97-254 | NM | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | ROCKY MT HMO | 84-1497491-001 | 01 |
| NM | Q2833 | 05 | |
| NM | BLUE CROSS BLUE SHIELD NM | NM012425 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457844656 | Jean Ann Graham | Pharmacist | 2503 Saratoga Dr, Austin, TX 78733-1240 | 2018-06-12 |
| 1992012033 | Jean M. Graham | Speech-Language Pathologist | 435 Glenwood Rd, Binghamton, NY 13905-1699 | 2010-09-10 |
| 1114114485 | Jean Ann Graham | Pharmacist | 500 Walter St Ne, Suite 201, Albuquerque, NM 87102-2534 | 2007-10-01 |
| 1184675043 | Jean M. Graham | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2006-05-15 |
| Street Address |
4801 N BUTLER AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536088 | Armando Lopez De Victoria | Internal Medicine | 4801 N Butler Ave, Suite 13102, Farmington, NM 87401-6002 | 2005-05-24 |
| 1184985475 | Advanced Gastroenterology Associates | Internal Medicine | 4801 N Butler Ave, Suite 13102, Farmington, NM 87401-6002 | 2012-06-03 |
| 1164700571 | Tres Rios Anesthesiology LLC | Anesthesiology | 4801 N Butler Ave, Suite 5000, Farmington, NM 87401-6002 | 2011-08-02 |
| 1184850372 | Edmund Mcnally | Physician Assistant | 4801 N Butler Ave, Ste 8102, Farmington, NM 87401-6002 | 2009-06-02 |
| 1093928673 | Samuel C. Carpenter, Dpmpc | Podiatrist | 4801 N Butler Ave, Suite 9102, Farmington, NM 87401-6002 | 2007-05-08 |
| 1942365416 | Neurodiagnostics Ltd. | Psychiatry & Neurology | 4801 N Butler Ave, Ste. 8102, Farmington, NM 87401-0818 | 2006-12-26 |
| 1568575314 | Michael Joseph Rutledge | Family Medicine | 4801 N Butler Ave, Suite 13101, Farmington, NM 87401-6002 | 2006-08-16 |
| 1265465884 | Uche N Obisike | Internal Medicine | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 | 2006-07-08 |
| 1790720662 | Comprehensive Sleep Solutions, LLC | Clinic/Center | 4801 N Butler Ave, Ste 6102, Farmington, NM 87401-6002 | 2006-06-17 |
| 1740286780 | Denise Dorner | Podiatrist | 4801 N Butler Ave, Ste 14102, Farmington, NM 87401-6002 | 2005-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248902 | Tracy Cook | Specialist | 1533 New Britain Ave Ste 2, Farmington, CT 06032-3378 | 2019-11-02 |
| 1144779836 | Brittany Parker | Specialist | 2205 Ridgecrest Dr, Farmington, NM 87401-3405 | 2016-09-23 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1275956203 | Therese Marie Millis | Specialist | 4600 Rio St, Farmington, NM 87402-4904 | 2014-01-27 |
| 1306100094 | Sarah Kalen | Specialist | 1517 Emma Ln, Farmington, NY 14425-9045 | 2012-06-27 |
| 1578837886 | Tom Burcham | Specialist | 1513 W Columbia St, Farmington, MO 63640-3512 | 2012-03-05 |
| 1306110838 | Stacey L Potter | Specialist | 313 N Monterey Ave, Farmington, NM 87401-6957 | 2012-03-01 |
| 1467720300 | Stettler Medical Monitoring, Lcc | Specialist | 1527 Comptons Pt, Farmington, UT 84025-3942 | 2011-12-07 |
| 1164734331 | Curtis J Tillman Jr. | Specialist | 36818 Brittany Hill Dr, Farmington, MI 48335-2908 | 2010-07-05 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on DR. JEAN GRAHAM.
| 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.