DR. MARTIN LAREN GRAHAM (NPI# 1538123674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538123674 |
| Entity Type | Individual |
| Full Name | DR. MARTIN LAREN GRAHAM |
| Credential | MD |
| Practice Address |
222 15th Ave Se Puyallup WA 98372-3754 |
| Mailing Address |
7424 Bridgeport Way W Suite 103 Lakewood WA 98499-8120 |
| Practice Telephone | 2538414353 |
| Practice Fax Number | 2535815698 |
| Mailing Telephone | 2538414353 |
| Mailing Fax Number | 2535815698 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301030616 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A24039 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00012303 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 74116 | 01 |
| WA | 8194904 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023112158 | Martin F Graham | Pediatrics | 1250 E Marshall Street, Pediatrics, Richmond, VA 23298-0646 | 2006-09-11 |
| Street Address |
222 15TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518920206 | Medical Imaging Northwest, LLP | Specialist | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-11 |
| 1003067505 | Jeannine Welcher | Radiology Practitioner Assistant | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2008-10-02 |
| 1942401286 | Timothy Ben Johnson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2007-05-31 |
| 1710941612 | David Alan Davidson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
| 1215991120 | Londe Apolphe Richardson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
| 1841254752 | Dan Henry Martin | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
| 1063476984 | Charles E Wang | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
| 1154385292 | Clare Zeno Andersen | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
| 1255395307 | Katherine Ann Choi-chinn | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
| 1326002478 | Alan David Pearson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598713273 | Sound Medical Imaging Pllc | Radiology | 12615 Meridian East, Ste 3, Puyallup, WA 98373-3426 | 2006-05-04 |
| 1942401286 | Timothy Ben Johnson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2007-05-31 |
| 1588788731 | Medical Imaging Northwest, LLP | Radiology | 11212 Sunrise Blvd E, Suite 200, Puyallup, WA 98374-8847 | 2007-03-16 |
| 1710941612 | David Alan Davidson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
| 1215991120 | Londe Apolphe Richardson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
| 1841254752 | Dan Henry Martin | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
| 1063476984 | Charles E Wang | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
| 1154385292 | Clare Zeno Andersen | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
| 1255395307 | Katherine Ann Choi-chinn | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
| 1326002478 | Alan David Pearson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
| Find all providers in PUYALLUP | ||||
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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.