ROBERT WALLACE GRAHAM (NPI# 1629393160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629393160 |
| Entity Type | Individual |
| Full Name | ROBERT WALLACE GRAHAM |
| Credential | D.O. |
| Practice Address |
800 Mercy Dr Council Bluffs IA 51503-3128 |
| Mailing Address |
4750 Hempstead Station Dr Kettering OH 45429-5164 |
| Practice Telephone | 8008750136 |
| Practice Fax Number | 9376194150 |
| Mailing Telephone | 8008750136 |
| Mailing Fax Number | 9376194150 |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2013-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4438 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447707021 | Robert Graham | Counselor | 7 Gouvernuer Slip East, New York City, NY 10002 | 2016-09-01 |
| 1427433754 | Robert Blake Graham | Chiropractor | 2500 Lakeside Pkwy, Ste 120, Flower Mound, TX 75022-4116 | 2015-07-28 |
| 1114186236 | Robert H Graham | Urology | 2055 Empire Mine Circle, Gold River, CA 95670-7785 | 2008-06-04 |
| 1720117138 | Robert Adam Graham | Clinic/Center | 728 E Bullard Ave Ste 101, Fresno, CA 93710-5474 | 2007-03-02 |
| 1184719403 | Robert James Graham | Psychologist | 36 Dorchester Rd, Buffalo, NY 14222-1125 | 2006-10-03 |
| 1295755361 | Robert L Graham | Chiropractor | 2230 Bradford Ct Ne, Grand Rapids, MI 49505-6405 | 2006-07-20 |
| 1497789556 | Robert P Graham Jr. | Internal Medicine | 300 20th Ave North, Ste 500, Nashville, TN 37203 | 2006-07-11 |
| 1750365052 | Robert Jackson Graham | Optometrist | 635 E Ojai Ave, Ojai, CA 93023-2822 | 2005-12-01 |
| 1215935820 | Robert D Graham II | Orthopaedic Surgery | 12309 N Mopac Expy Ste 150, Austin, TX 78758 | 2005-07-08 |
| 1114405131 | Robert Francis Graham | Physical Therapist | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2018-08-01 |
| Street Address |
800 MERCY DR |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269301 | New Century Physicians of Iowa PC | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2005-07-14 |
| 1104436575 | Benjamin Denich | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2020-07-31 |
| 1427515402 | Katelyn C Birkett | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2019-02-26 |
| 1588150809 | Nicholas J Crill | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-07-10 |
| 1689175093 | Brenna L Rasmussen | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-02-22 |
| 1639687114 | Chi Health Clinic Physician Enterprise-anesthesia LLC | Nurse Anesthetist, Certified Registered | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-18 |
| 1215445077 | Melissa Kay Klutts | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-15 |
| 1699227892 | Ashley M Manhart | Registered Nurse | 800 Mercy Dr, Attn: Diabetic Education, Council Bluffs, IA 51503-3128 | 2016-11-04 |
| 1447616313 | Juanita Daisy Alvarez-hall | Registered Nurse | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2016-01-07 |
| 1932582848 | Nicholas Sakis | Hospitalist | 800 Mercy Dr, Council Bluffs, IA 51503 | 2015-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356489728 | Joseph E Hoagbin | Emergency Medicine | 120 W Pierce St, Council Bluffs, IA 51503-4336 | 2007-02-01 |
| 1548269301 | New Century Physicians of Iowa PC | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2005-07-14 |
| 1083723134 | Paul C. Mileris | Emergency Medicine | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-08-30 |
| 1669582656 | Scott P Smith | Emergency Medicine | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-08-30 |
| 1629183504 | Christopher Elliott | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2006-08-20 |
| 1952415150 | Patrick T. Costello | Emergency Medicine | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-08-18 |
| 1811933880 | Gregory A Jeppesen | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2006-06-20 |
| 1881645273 | Wason W Louie | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2006-05-12 |
| 1750331369 | Thomas Francis Cheatle | Emergency Medicine | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-05-12 |
| 1295785400 | Ronald A Sarno | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2006-05-10 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on ROBERT WALLACE 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.