DR. GORDON D GRAHAM (NPI# 1629077011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629077011 |
| Entity Type | Individual |
| Full Name | DR. GORDON D GRAHAM |
| Credential | MD |
| Practice Address |
2501 Citico Ave Chattanooga TN 37404-1127 |
| Practice Telephone | 4236972000 |
| Practice Fax Number | 4236972118 |
| Mailing Telephone | 4236972000 |
| Mailing Fax Number | 4236972118 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
22198 | TN | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
22198 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3066351 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861712754 | Gordon Howell Graham | Pharmacist | 5300 Princess Anne Rd, Virginia Beach, VA 23462-5904 | 2010-06-02 |
| 1689788416 | Gordon Keith Graham | Obstetrics & Gynecology | 212 S Bliss Ave, Dumas, TX 79029-3806 | 2006-08-18 |
| Street Address |
2501 CITICO AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575113 | Abigail N Burroughs | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-12-11 |
| 1730721465 | Cathy C Patty | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-10-15 |
| 1447725882 | Damon Pulliam | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-10-12 |
| 1962980169 | Gregory A Evans | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-07-31 |
| 1467965707 | Josue B Mendoza | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-11-08 |
| 1548781156 | Sally W Randall | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-07-05 |
| 1225582141 | Corinne Ann Hinson | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2016-08-09 |
| 1073988903 | Enesa Spreco | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-12-03 |
| 1396120408 | Joshua Paul Black | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-07-30 |
| 1942694641 | Joy A Anthony | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699065631 | Patrick Stevens | Internal Medicine | 979 E 3rd St Ste C560, Chattanooga, TN 37403-3333 | 2011-04-11 |
| 1275784597 | Cardiovascular Diseases Group, Pllc | Internal Medicine | 1720 Gunbarrel Rd Ste 306, Chattanooga, TN 37421-3192 | 2008-10-06 |
| 1013118462 | Leonard J Hays IIi Md PC | Internal Medicine | 2515 Desales Ave Ste 204, Chattanooga, TN 37404-1100 | 2007-05-31 |
| 1720179567 | J Walter Sledge Md Pllc | Internal Medicine | 2339 Mccallie Avenue, Plaza II Suite 204, Chattanooga, TN 37404 | 2006-09-27 |
| 1427169432 | Steven K. Austin, Md, PC | Internal Medicine | 6031 Shallowford Road, Suite 117, Chattanooga, TN 37421-1688 | 2006-08-31 |
| 1669437315 | Jeffrey Ross Jarrett | Internal Medicine | 2 N Crest Rd, Chattanooga, TN 37404-1809 | 2006-04-18 |
| 1821062258 | Calvin Arthur Bell | Internal Medicine | 1614 Gunbarrel Rd, Suite 101, Chattanooga, TN 37421 | 2006-02-14 |
| 1699749010 | Walter L. Few IIi | Internal Medicine | 1614 Gunbarrel Road, Suite 101, Chattanooga, TN 37421 | 2006-02-14 |
| 1902225014 | William Chadwick Armstrong | Internal Medicine | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2014-04-16 |
| 1497015150 | Rehan Kahloon | Internal Medicine | 979 E 3rd St Ste C-520, Chattanooga, TN 37403-2136 | 2012-05-29 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.