MARK EDWARD GRAFTON (NPI# 1689642670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689642670 |
| Entity Type | Individual |
| Full Name | MARK EDWARD GRAFTON |
| Credential | NAVY IDC |
| Practice Address |
1 San Diego Loop Bldg 3282 Naval Air Facility Branch Health and Dental C Andrews Afb MD 20762-5518 |
| Mailing Address |
1 San Diego Loop Bldg 3282 Naval Air Facility Branch Health and Dental Clinics Andrews Afb MD 20762-5518 |
| Practice Telephone | 2408572850 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
1 SAN DIEGO LOOP BLDG 3282 NAVAL AIR FACILITY BRANCH HEALTH AND DENTAL C |
| City | ANDREWS AFB |
| State | MD |
| Zip Code | 20762-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210423 | Kevin Wang | Dentist | 1057 W Perimeter Rd, Prince County, MD 20762 | 2020-09-21 |
| 1306467667 | Priscilla Andalia | Student in an Organized Health Care Education/Training Program | 1065 W. Perimeter Road, Jb Andrews, MD 20762 | 2020-04-28 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1083240139 | Shirley Ye | Student in an Organized Health Care Education/Training Program | 1025 Boston Rd, Joint Base Andrews, MD 20762 | 2020-03-20 |
| 1255988853 | Songxuan Zhou Niemtzow | Acupuncturist | Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 | 2019-08-20 |
| 1487010971 | Tracy Ellen Ambos | Social Worker | 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 | 2016-01-13 |
| 1154718450 | Ryan Mason Kring | Emergency Medicine | Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 | 2015-04-24 |
| 1518206044 | Jeremy Gallman | Veterinarian | 1781 Arnold Ave., Joint Base Andrews, MD 20762 | 2013-02-04 |
| 1043556418 | Kimberly Mccoy-singh | Physical Therapist | 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 | 2012-12-12 |
| 1417215799 | Alexander Rostam Kheradi | Emergency Medicine | 1050 West Perimeter Road, Joint Base Andrews, MD 20762 | 2012-04-24 |
| Find all providers in zip 20762 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143919 | Milton Mcintyre Brown Iv | Military Health Care Provider | 12610 Chanler Ln, Bowie, MD 20715-1302 | 2020-08-07 |
| 1548666415 | Janet Oliva | Military Health Care Provider | 6305 Riverdale Rd, Riverdale, MD 20737-2105 | 2014-11-05 |
| 1740693324 | Benjamin Graves | Military Health Care Provider | 3399 Strauss Ave Bldg 901, Indian Head, MD 20640-5164 | 2014-06-11 |
| 1497009187 | Devin P Sweet | Military Health Care Provider | 5813 Chinquapin Pkwy, 1st Floor, Baltimore, MD 21239-2555 | 2012-11-01 |
| 1083980932 | Ernest Theophilus Quimby Iv | Military Health Care Provider | Walter Reed Nmmc, Bldg 1 Suite 5103 8955 Wood Road, Bethesda, MD 20889-5628 | 2012-03-26 |
| 1447557202 | Louis Florentine Gonzales | Military Health Care Provider | 28k Queen Mary Ct, Chester, MD 21619-2528 | 2011-02-14 |
| 1497918635 | David Paul Horvath | Military Health Care Provider | 3399 Strauss Ave Ste 219, Indian Head, MD 20640-5164 | 2008-07-08 |
| 1932383593 | Michael A Walls | Military Health Care Provider | 3399 Strauss Ave, Suite 219, Indian Head, MD 20640-5164 | 2007-12-19 |
| 1316147457 | Michael Waters | Military Health Care Provider | 14900 Park Central Road, Naval Support Facility, Thurmont, MD 21788 | 2007-07-18 |
| 1538362041 | Elizabeth Ann Davenport | Military Health Care Provider | 734 Carpenter Park Apt A, Patuxent River, MD 20670-1308 | 2007-06-11 |
| Find all providers with the same taxonomy | ||||
| City | ANDREWS AFB |
| Zip Code | 20762 |
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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.