MICHAEL GRAVES (NPI# 1770880007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770880007 |
| Entity Type | Individual |
| Full Name | MICHAEL GRAVES |
| Credential | M.D. |
| Practice Address |
4419 Frontier Trl Ste 110 Austin TX 78745-1686 |
| Practice Telephone | 5124447208 |
| Practice Fax Number | 5124442343 |
| Mailing Telephone | 5124447208 |
| Mailing Fax Number | 5124442343 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2019-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Q3000 | TX | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Q3000 | TX | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Q3000 | TX | Allopathic & Osteopathic Physicians |
| N | 202K00000X | Phlebology | Q3000 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437692282 | Michael Alan Graves | Nurse Practitioner | 150 Pine Forest Dr Ste 108, Shenandoah, TX 77384-5302 | 2016-11-28 |
| 1376773572 | Michael Eugene Graves | Psychologist | 1500 W 38th St Ste 47, Austin, TX 78731-6319 | 2009-07-22 |
| 1124299425 | Michael V Graves | Custodial Care Facility | 1819 Charlotte Avenue, Nashville, TN 37203 | 2008-03-14 |
| 1194857821 | Michael Graves | Rehabilitation Practitioner | 4141 Southwest Fwy Ste 510, Houston, TX 77027-7334 | 2007-03-09 |
| 1134228547 | Michael Lee Graves | Physical Therapist | 6169 Jog Road, Suite A-11, Lake Worth, FL 33467 | 2006-09-22 |
| 1275539579 | Michael T Graves | Specialist | 2404 Yonkers St, Plainview, TX 79072-1820 | 2005-06-22 |
| 1447871140 | Michael Graves | Family Medicine | 425 W 5th St, East Liverpool, OH 43920-2405 | 2020-05-04 |
| 1932412012 | Michael Gregory Graves | Chiropractor | 134 E 4600 S, Washington Terrace, UT 84405-5946 | 2010-07-19 |
| 1447411889 | Michael Calvin Graves | Audiologist | 3701 Loop Rd, Tuscaloosa Vamc, Tuscaloosa, AL 35404-5015 | 2008-06-18 |
| 1336225846 | Michael A. Graves | Podiatrist | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| Street Address |
4419 FRONTIER TRL STE 110 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780553 | Connie Sterritt | Dermatology | 4419 Frontier Trl, Suite 110, Austin, TX 78745-1686 | 2006-02-20 |
| 1609251107 | Southwest Skin and Vein Center Pllc | Dermatology | 4419 Frontier Trl, Ste 110, Austin, TX 78745-1686 | 2015-07-25 |
| 1982965372 | Kimberly Jane Layne | Nutritionist | 4419 Frontier Trl, Suite 106, Austin, TX 78745-1686 | 2012-06-03 |
| 1437465978 | Total Sleep Diagnostics, Inc. | Clinic/Center | 4419 Frontier Trl, Ste 105, Austin, TX 78745-1686 | 2010-08-22 |
| 1679888903 | Kimberly Anne Cammerata Barr | Acupuncturist | 4419 Frontier Trl, #106, Austin, TX 78745-1686 | 2010-08-11 |
| 1275778029 | Gn Hearing Dba Beltone | Hearing Aid Equipment | 4419 Frontier Trl, Suite 109, Austin, TX 78745-1686 | 2008-12-09 |
| 1558547182 | South Austin Dental Associates | Dentist | 4419 Frontier Trl, Suite 104, Austin, TX 78745-1686 | 2008-01-14 |
| 1063627941 | Hildy Dinkins | Psychologist | 4419 Frontier Trl, Suite 103, Austin, TX 78745-1686 | 2007-05-13 |
| 1154469427 | John D. Chelkowski | Dentist | 4419 Frontier Trl, Ste. 104, Austin, TX 78745-1686 | 2007-02-01 |
| 1760564009 | Michael L. Butcher | Dentist | 4419 Frontier Trl, Suite 104, Austin, TX 78745-1686 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780872762 | Susan E Dozier, Md, Pa | Dermatology | 8240 N Mopac Expy Ste 355, Austin, TX 78759-8894 | 2007-10-04 |
| 1023033883 | Susan Elizabeth Dozier | Dermatology | 8240 N Mo Pac Expwy, Suite 355, Austin, TX 78759-8894 | 2006-07-13 |
| 1760878045 | Nicholas R. Snavely, Md, Pllc | Dermatology | 10815 Rr 2222, Bldg 3a, Ste 200, Austin, TX 78730-1159 | 2015-04-13 |
| 1003829920 | John Joseph Ghidoni IIi | Dermatology | 8229 Shoal Creek Blvd, Suite#101, Austin, TX 78757-7568 | 2006-08-14 |
| 1619942182 | Southwest Skin & Cancer Clinic, P.a. | Dermatology | 4419 Frontier Trl, Suite 110, Austin, TX 78745-1686 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649800848 | Skin Cancer Dermatology, Pllc | Dermatology | 3327 Research Plz Ste 414, San Antonio, TX 78235-5159 | 2020-01-16 |
| 1598302721 | Austin Skin Pllc | Dermatology | 1501 Dorothy Nichols Ln # B, Smithville, TX 78957-1725 | 2019-12-06 |
| 1154717726 | Joshua Lee Owen | Dermatology | 2632 Broadway, Suite 300 South, San Antonio, TX 78215-7821 | 2015-04-10 |
| 1043615263 | Epiphany Dermatology Pa | Dermatology | 7106 Sanger Avenue, Waco, TX 76712-3928 | 2014-10-30 |
| 1255745915 | Leon Chen | Dermatology | 6655 Travis St Ste 650, Houston, TX 77030-1316 | 2014-06-19 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1457695413 | Oliver Street 5.01(a) Inc. | Dermatology | 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 | 2012-11-15 |
| 1427330588 | Michael A. Sorace Md Pa | Dermatology | 7950 Floyd Curl Dr Ste 505, Medical Center Tower 1, San Antonio, TX 78229-3924 | 2011-09-15 |
| 1811229180 | Skin Surgery Center, Pa | Dermatology | 6208 Colleyville Blvd, Suite 100, Colleyville, TX 76034-6223 | 2010-02-11 |
| 1265614168 | Michael Sorace | Dermatology | 745 W San Antonio Ave, Suite 100, Boerne, TX 78006-3213 | 2007-12-03 |
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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.