LAURA M GRAVELIN (NPI# 1780868950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780868950 |
| Entity Type | Individual |
| Full Name | LAURA M GRAVELIN |
| Credential | MD |
| Practice Address |
200 Banning St Dover DE 19904-3485 |
| Mailing Address |
200 Banning St Suite 340 Dover DE 19904-3485 |
| Practice Telephone | 3027341414 |
| Practice Fax Number | 3027342121 |
| Mailing Telephone | 3027341414 |
| Mailing Fax Number | 3027342121 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2013-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
C1-0010291 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
200 BANNING ST |
| City | DOVER |
| State | DE |
| Zip Code | 19904-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364190 | Donald D. Suh | Urology | 200 Banning St, Suite 250, Dover, DE 19904 | 2005-05-27 |
| 1750861779 | Jacob Wesley Roberts | Physician Assistant | 200 Banning St, Dover, DE 19904-3485 | 2018-08-20 |
| 1003307737 | Gabriella Lynn Malacari | Physician Assistant | 200 Banning St, Dover, DE 19904-3485 | 2018-05-29 |
| 1972010924 | First State Infectious Diseases, LLC | Internal Medicine | 200 Banning St, Suite 230, Dover, DE 19904-3487 | 2017-12-29 |
| 1700231867 | Amita Jain | Internal Medicine | 200 Banning St, Dover, DE 19904-3485 | 2016-04-26 |
| 1619338126 | Seiff Center for Aesthetic & Reconstructive Surgery Pa | Clinic/Center | 200 Banning St, Suite 370, Dover, DE 19904-3485 | 2016-03-10 |
| 1689033631 | Meghan Elizabeth Miller | Nurse Practitioner | 200 Banning St, Suite 320, Dover, DE 19904-3485 | 2016-02-18 |
| 1477950319 | Christina Sykes | Advanced Practice Midwife | 200 Banning St, Suite 320, Dover, DE 19904-3485 | 2014-11-20 |
| 1538573837 | The Vein Center At Eden Hill LLC | Surgery | 200 Banning St, Suite 300, Dover, DE 19904-3485 | 2014-06-13 |
| 1053724815 | Advanced Sleep Disorders Center LLC | Clinical Medical Laboratory | 200 Banning St, Suite 210, Dover, DE 19904-3487 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396709440 | Stephen Michael Blumberg | Internal Medicine | 1113 S State St, Suite 100, Dover, DE 19901-4112 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063938439 | Bayhealth Medical Center, Inc | Internal Medicine | 100 Wellness Way, Milford, DE 19963-4364 | 2017-08-17 |
| 1417111063 | Mussaber Mushtaq Ahmad | Internal Medicine | 802 N Dupont Blvd, Milford, DE 19963-1006 | 2008-07-14 |
| 1295932861 | Delaware Electrophysiology and Cardiology Pa | Internal Medicine | 2600 Glasgow Ave, Suite 104, Newark, DE 19702-4773 | 2007-06-28 |
| 1932102647 | Joseph C Pennington IIi | Internal Medicine | 2600 Glasgow Ave, Ste 104, Newark, DE 19702-4773 | 2005-05-27 |
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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.