ROBERT DAVID GRAHAM (NPI# 1831504885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831504885 |
| Entity Type | Individual |
| Full Name | ROBERT DAVID GRAHAM |
| Credential | M.D. |
| Practice Address |
1577 Roberts Dr Ste 225 Jacksonville Beach FL 32250-3265 |
| Mailing Address |
Po Box 117345 Atlanta GA 30368-7345 |
| Practice Telephone | 9042411204 |
| Practice Fax Number | 9042417331 |
| Mailing Telephone | 9043463465 |
| Mailing Fax Number | 9048586489 |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME144651 | FL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 125.064974 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
ME144651 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447707021 | Robert Graham | Counselor | 7 Gouvernuer Slip East, New York City, NY 10002 | 2016-09-01 |
| 1427433754 | Robert Blake Graham | Chiropractor | 2500 Lakeside Pkwy, Ste 120, Flower Mound, TX 75022-4116 | 2015-07-28 |
| 1114186236 | Robert H Graham | Urology | 2055 Empire Mine Circle, Gold River, CA 95670-7785 | 2008-06-04 |
| 1720117138 | Robert Adam Graham | Clinic/Center | 728 E Bullard Ave Ste 101, Fresno, CA 93710-5474 | 2007-03-02 |
| 1184719403 | Robert James Graham | Psychologist | 36 Dorchester Rd, Buffalo, NY 14222-1125 | 2006-10-03 |
| 1295755361 | Robert L Graham | Chiropractor | 2230 Bradford Ct Ne, Grand Rapids, MI 49505-6405 | 2006-07-20 |
| 1497789556 | Robert P Graham Jr. | Internal Medicine | 300 20th Ave North, Ste 500, Nashville, TN 37203 | 2006-07-11 |
| 1750365052 | Robert Jackson Graham | Optometrist | 635 E Ojai Ave, Ojai, CA 93023-2822 | 2005-12-01 |
| 1215935820 | Robert D Graham II | Orthopaedic Surgery | 12309 N Mopac Expy Ste 150, Austin, TX 78758 | 2005-07-08 |
| 1114405131 | Robert Francis Graham | Physical Therapist | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2018-08-01 |
| Street Address |
1577 ROBERTS DR STE 225 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890264 | Milton John Vonthron | Orthopaedic Surgery | 1577 Roberts Dr Ste 225, Credentialing Department, Jacksonville Beach, FL 32250-3265 | 2005-06-13 |
| 1942349949 | Mark Thomas Gould | Orthopaedic Surgery | 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 | 2007-02-06 |
| 1326042789 | Dale A. Whitaker | Orthopaedic Surgery | 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679006373 | Hand Surgery of Central Florida | Surgery | 1241 S. Ridgewood Ave., Daytona Beach, FL 32114 | 2017-04-10 |
| 1841427861 | Jose L Borrero | Surgery | 630 Jasmine Rd, Altamonte Springs, FL 32701-4807 | 2009-06-17 |
| 1982895223 | George Dimitrios Papanicolaou | Surgery | 3272 W Lake Mary Blvd Ste 1810, Lake Mary, FL 32746-3589 | 2007-08-01 |
| 1629268842 | Jesse O Basadre Md Pa | Surgery | 1699 Sw 27th Ave, Miami, FL 33145 | 2007-07-25 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| 1770704520 | Medlink Management Services Inc | Surgery | 575 Se 3rd Ave, Lake Butler, FL 32054-2647 | 2007-05-01 |
| 1619196185 | Khader Muqtadir | Surgery | 13905 Bruce B Downs Blvd Ste B, Tampa, FL 33613-3998 | 2007-04-24 |
| 1609941244 | Jesse Orlando Basadre | Surgery | 1699 Sw 27 Avenue, Miami, FL 33145 | 2006-11-21 |
| 1275606634 | William W Adams | Surgery | 2299 9th Ave North, Suite 2c, Saint Petersburg, FL 33713 | 2006-11-15 |
| 1427089309 | Vikram P Mehta | Surgery | 4106 W. Lake Mary Blvd, Suite 224, Lake Mary, FL 32746 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.