DR. ANTONY L GRAHAM (NPI# 1720003254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720003254 |
| Entity Type | Individual |
| Full Name | DR. ANTONY L GRAHAM |
| Credential | DC |
| Practice Address |
1186 Church Street Moscow PA 18444 |
| Mailing Address |
1186 Church St Moscow PA 18444 |
| Practice Telephone | 5708425131 |
| Practice Fax Number | 5708425126 |
| Mailing Telephone | 5708425131 |
| Mailing Fax Number | 5708425126 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | AJ008928L | PA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | DC008928L | PA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | DC008928 | PA | Chiropractic Providers |
| Street Address |
1186 CHURCH STREET |
| City | MOSCOW |
| State | PA |
| Zip Code | 18444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174545750 | Erik R Schmidt | Chiropractor | 1186 Church Street, Moscow, PA 18444 | 2006-07-24 |
| 1043230204 | Paul Matthew Lydon | Chiropractor | 1186 Church Street, Moscow, PA 18444 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285949370 | Susan D Decesare | Psychologist | 260 Daleville Highway, Suite 105, Covington Township, PA 18444 | 2010-08-12 |
| 1487986741 | Rocco G. Diana | Chiropractor | 1186 Church St., Moscow, PA 18444 | 2010-02-10 |
| 1821263666 | Jay Joseph Sochoka | Pharmacist | Routes 435 & 502, Moscow, PA 18444 | 2008-04-23 |
| 1669671004 | Donald W Haines | Dentist | 921 Drinker Turnpike, Suite 19, Coventry Township, PA 18444 | 2007-07-16 |
| 1952422750 | James Steven Fagan | Dentist | 1644 Rt 611 Fountain Springs West, Suite 3, Tannersville, PA 18444 | 2007-04-02 |
| 1184728313 | Braceys Supermarket Inc. | Pharmacy | Route 502, Daleville, PA 18444 | 2006-09-08 |
| 1245228410 | Jose Aramburo | Family Medicine | Rt 502 Box 6239, Moscow, PA 18444 | 2005-10-11 |
| 1225305311 | Kimberly A. Desau | Occupational Therapist | 516 Saint Marys Villa Rd, Elmhurst Township, PA 18444 | 2011-11-17 |
| 1962680413 | Dr Richard Margerum Optometrist | Optometrist | 328 N Main St, Moscow, PA 18444 | 2008-02-07 |
| 1518177005 | Pharmacy Operations Inc | Pharmacy | 208 South Main Street, Moscow, PA 18444 | 2007-05-23 |
| Find all providers in zip 18444 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205470754 | Scott Olin Short | Chiropractor | 619 S Washington St Ste 202, Moscow, ID 83843-3063 | 2019-10-28 |
| 1487900205 | Quality Chiropractic Center Pllc | Chiropractor | 619 S Washington St Ste 101, Moscow, ID 83843-3063 | 2012-07-30 |
| 1487986741 | Rocco G. Diana | Chiropractor | 1186 Church St., Moscow, PA 18444 | 2010-02-10 |
| 1134456031 | Moscow Health and Wellness Center, P.l.l.c. | Chiropractor | 317 W 6th St Ste 206, Moscow, ID 83843-2387 | 2009-11-13 |
| 1285783530 | David W Morgan | Chiropractor | 102 S Washington, Moscow, ID 83843-2842 | 2007-01-09 |
| 1003985045 | Larry W Hammond | Chiropractor | 619 S Washington St., Suite 202, Moscow, ID 83843-3063 | 2006-11-06 |
| 1689688160 | Stephen A Pokowicz | Chiropractor | 1186 Church St, Moscow, PA 18444-9346 | 2006-07-28 |
| 1437116910 | Ann L Raymer | Chiropractor | 1246 W A St, Moscow, ID 83843-2277 | 2006-04-27 |
| 1992791982 | John R Sandell | Chiropractor | 325 W 3rd St, Moscow, ID 83843-2204 | 2005-09-23 |
| 1154965606 | Shorts Family Chiropractic | Chiropractor | 619 S Washington St Ste 202, Moscow, ID 83843-3063 | 2019-10-28 |
| Find all providers in MOSCOW | ||||
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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.