GLENN E. GRAVES


Address: 2500 W Layton Ave, Suite 110, Milwaukee, WI 53221-5420
Phone: 4142810963

GLENN E. GRAVES (NPI# 1780671677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780671677
Entity Type Individual
Full Name GLENN E. GRAVES
Credential M.D.
Practice Address 2500 W Layton Ave
Suite 110
Milwaukee
WI 53221-5420
Mailing Address 6020 S Packard Ave
Cudahy
WI 53110-3028
Practice Telephone 4142810963
Practice Fax Number 4142810959
Mailing Telephone 4142944660
Mailing Fax Number 4142810959
Enumeration Date 2005-10-05
Last Update Date 2019-03-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 27890-020 WI Allopathic & Osteopathic Physicians
Y 207WX0009X Ophthalmology
Specialization: Glaucoma Specialist
27890-020 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI RR MEDICARE 180020621 01
WI HUMANA 391484998C 01
WI PRIMECARE 0800065 01
WI 31485900 05
WI BLUE CROSS 391484998011 01
WI TAX ID 391484998 01

Other Providers GLENN GRAVES

NPI Name Taxonomy Address Enumeration
1104820893 Glenn R Graves Family Medicine 2555 Western Trails Blvd, Ste 101, Austin, TX 78745-1574 2005-06-09
1720595044 Glenn Philip Graves Registered Nurse 100 Washington St, Elmira, NY 14901-2849 2018-01-09
1487848842 Glenn August Graves Social Worker 1616 Physicians Dr, Tallahassee, FL 32308-4619 2007-08-29

Office Location

Street Address 2500 W LAYTON AVE
SUITE 110
City MILWAUKEE
State WI
Zip Code 53221-5420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063405751 Constance M. Ganapes Internal Medicine 2500 W Layton Ave, Suite 250, Milwaukee, WI 53221-5420 2005-08-26
1669911277 Garland W. Yarborough M.d S,c Clinic/Center 2500 W Layton Ave, Suite250, Milwaukee, WI 53221-5420 2017-02-15
1376087247 Eric Everson Occupational Therapist 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 2016-12-13
1508312570 Azh Vascular Center Mke LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 2500 W Layton Ave, Suite 40, Milwaukee, WI 53221-5420 2016-08-30
1497105837 Jill Bergersen Physical Therapist 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 2016-06-16
1780032219 Azh Wound Center Mke LLC Emergency Medicine 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 2016-05-25
1528412798 Kurt P Hackbarth Physical Therapist 2500 W Layton Ave, Milwaukee, WI 53221-5420 2016-04-14
1700249992 Jennifer Zomchek Nurse Practitioner 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 2016-04-04
1588046890 Rebecca Rudella Occupational Therapist 2500 W Layton Ave, Milwaukee, WI 53221-5420 2015-06-23
1154702975 Stephanie M Mcdonald Physical Therapist 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 2015-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487205944 Hayat Pharmacy 20 LLC Pharmacy 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 2019-09-26
1962053421 Hayat Pharmacy 19 LLC Pharmacy 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 2019-09-26
1407343965 Informe Healthcare LLC Counselor 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 2018-04-19
1447781992 Itamar Yaakov Gnatt Emergency Medicine 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 2017-03-27
1194277160 Suzanne Derosier Licensed Practical Nurse 3910 W Bridge, Greenfield, WI 53221 2016-10-26
1265988117 Obi Home Care Clinic/Center 4439 S 20th St, Milwaukee, WI 53221 2016-08-31
1427430602 Zezenya Health Care S.c. Pain Medicine 5114 S 27th St # 763, Milwaukee, WI 53221 2015-06-24
1851771091 Feisal J Salahadyn Counselor 4800 South 10th Street, Milwaukee, WI 53221 2015-06-03
1114312386 Holistic Home Health Care Incorporated Adult Companion 3422 West Howard Ave, Greenfield, WI 53221 2015-04-03
1841698834 Srt Prosthetics & Orthotics LLC Prosthetic/Orthotic Supplier 5220 S 27th St., Milwaukee, WI 53221 2014-12-08
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Taxonomy Information

Taxonomy Code 207WX0009X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Glaucoma Specialist

Taxonomy Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org

Competitor

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City MILWAUKEE
Zip Code 53221

Improve Information

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Dataset Information

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.

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