BILLY D GRAHAM (NPI# 1750479374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750479374 |
| Entity Type | Individual |
| Full Name | BILLY D GRAHAM |
| Credential | P.A.-C. |
| Practice Address |
1 Medical Plaza Dr Roseville CA 95661 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9167811002 |
| Practice Fax Number | 9167811003 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA15123 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00PA15123 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2510 Airpark Dr, Suite 301, Redding, CA 960012449 | 5302442882 | 5302443703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639337157 | Billy Joe Graham | Dentist | 611 Jefferson St, Van Buren, AR 72956-5159 | 2008-05-30 |
| Street Address |
1 MEDICAL PLAZA DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560389 | Angela Bell | Emergency Medicine | 1 Medical Plaza Dr, Department of Emergency Medicine, Roseville, CA 95661-3037 | 2005-07-07 |
| 1942814744 | Steven Michael Decristofaro | Counselor | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-08-31 |
| 1083228886 | Dawn K Krakover | Counselor | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-08-31 |
| 1659900579 | Lacy Danielle Couchot | Nurse's Aide | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-04-02 |
| 1326670571 | Veronica Marie Kennedy | Marriage & Family Therapist | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-02-05 |
| 1417595760 | William Murray | Physician Assistant | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-12-17 |
| 1649813015 | Jennifer Eloise Amaro | Social Worker | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-10-17 |
| 1851959720 | Kyi Zin M.d.,inc. | Internal Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-06-04 |
| 1730613951 | Benjamin Palmer | Internal Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2017-04-13 |
| 1467812800 | Mitchell Morta | Nurse Practitioner | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2016-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1720141989 | Lindsey Diane Ewick | Physician Assistant | 3 Medical Plaza Drive, Suite 200, Roseville, CA 95661-0602 | 2006-12-19 |
| 1417513490 | Tatiana Mudrenko | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-05-15 |
| 1992068522 | Heidi Marin Lamel | Physician Assistant | 3 Medical Plaza Dr Ste 250, Roseville, CA 95661-3089 | 2012-06-19 |
| 1508916800 | Michelle Kristine Kut | Physician Assistant | 25599 Kelly Rd, Suite A, Roseville, MI 48066-4975 | 2007-01-11 |
| 1407904766 | Matthew Kurowski | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-05 |
| 1497812655 | Leanne M Preston | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-03 |
| 1750443131 | Alan Gunnar Peterson | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-12-14 |
| 1124188826 | Kelly Kristine Haws | Physician Assistant | 1600 Eureka Rd, Orthopaedics 2nd Floor, Roseville, CA 95661-3027 | 2006-12-11 |
| 1174681563 | Paul A Bakke | Physician Assistant | 1600 Eureka Rd, Orthopedics 1, Roseville, CA 95661-3027 | 2006-12-05 |
| Find all providers in ROSEVILLE | ||||
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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.