DR. DONALD ST. PAUL GRAVENOR (NPI# 1770581662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770581662 |
| Entity Type | Individual |
| Full Name | DR. DONALD ST. PAUL GRAVENOR |
| Credential | M.D. |
| Practice Address |
6029 Walnut Grove Rd Suite #301 Memphis TN 38120-2112 |
| Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
| Practice Telephone | 9017479081 |
| Practice Fax Number | 9017479087 |
| Mailing Fax Number | 9012278591 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E-3381 | AR | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
17589 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
30833 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
6029 WALNUT GROVE RD SUITE #301 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819269 | Aleksandar Jankov | Internal Medicine | 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120-2112 | 2005-05-23 |
| 1932731957 | Summer Rhae Hess | Nurse Practitioner | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2020-02-07 |
| 1396207882 | Ashley Marie Hatchett | Nurse Practitioner | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2019-04-03 |
| 1477966687 | Saint Francis Medical Partners, General Surgery, L.L.C. | Colon & Rectal Surgery | 6029 Walnut Grove Rd, Ste. 404, Memphis, TN 38120-2112 | 2014-06-05 |
| 1164745238 | Mid South Regional Thoracic Center, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 100, Memphis, TN 38120-2112 | 2010-03-03 |
| 1104056555 | Rachel E. Harrison | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2009-07-20 |
| 1063673184 | Cardiac Surgery Associates, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 109, Memphis, TN 38120-2112 | 2008-06-20 |
| 1578723276 | Drew S. Dill | Internal Medicine | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2008-06-16 |
| 1336313170 | Anton Surath Nisetus Dias Perera | Surgery | 6029 Walnut Grove Rd, Suite # 401, Memphis, TN 38120-2112 | 2008-04-14 |
| 1730361429 | Memphis Eye Clinic Plc | Ophthalmology | 6029 Walnut Grove Rd, Suite 101, Memphis, TN 38120-2112 | 2007-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558436337 | David Neil Hayes | Internal Medicine | 1211 Union Ave Ste 300, Memphis, TN 38104-6655 | 2006-11-21 |
| 1396852273 | Sandeep Kumar Rajan | Internal Medicine | 6401 Poplar Ave Ste 195, Memphis, TN 38119 | 2006-08-24 |
| 1215943675 | Family Cancer Center, Pllc | Internal Medicine | 6029 Walnut Grove, Suite 301, Memphis, TN 38120-2112 | 2006-07-31 |
| 1326070277 | Jarvis D Reed | Internal Medicine | 1588 Union Ave, Memphis, TN 38104-3729 | 2006-07-07 |
| 1306886825 | Kenneth I Ataga | Internal Medicine | 1325 Eastmoreland Ave Ste 101, Memphis, TN 38104 | 2006-06-07 |
| 1265424659 | Donna Przepiorka | Internal Medicine | 1331 Union Ave, Suite 800, Memphis, TN 38104-3513 | 2005-08-22 |
| 1851399638 | David Wayne Sullivan | Internal Medicine | 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112 | 2005-07-14 |
| 1659375392 | Stephen A Besh | Internal Medicine | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2005-06-10 |
| 1003819269 | Aleksandar Jankov | Internal Medicine | 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120-2112 | 2005-05-23 |
| 1144223298 | Kirby L Smith | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2005-05-23 |
| Find all providers in MEMPHIS | ||||
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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.