MR. SCOTT DAVID GRAHAM (NPI# 1932312097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932312097 |
Entity Type | Individual |
Full Name | MR. SCOTT DAVID GRAHAM |
Credential | HM IDC |
Practice Address |
Eodmu 5 Unit 25499 2112 Sumay Cove Drive Santa Rita GAUM 96915 UM |
Mailing Address |
Eodmu 5 Unit 25499 2112 Sumay Cove Drive Santa Rita GUAM 96915 UM |
Practice Telephone | 6713398171 |
Practice Fax Number | 6713398179 |
Mailing Telephone | 6713398171 |
Mailing Fax Number | 6713398179 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750300497 | Scott T Graham | Physical Therapist | 2902 Forum Blvd, Suite 104, Columbia, MO 65203-5404 | 2006-07-19 |
1700801313 | Scott Allan Graham | Orthopaedic Surgery | 10 Harris Ct Bldg A, Ste A1, Monterey, CA 93940-5704 | 2006-07-13 |
1861452104 | Scott Fitzgerald Graham | Family Medicine | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2006-03-23 |
1922356856 | Scott Graham | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2012-08-27 |
1194923631 | Scott James Graham | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2007-07-06 |
1447478011 | Scott Thomas Graham | Dentist | 44075 N Gratiot Ave, Clinton Twp, MI 48036-1312 | 2007-04-21 |
1225132350 | Scott R Graham | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
1154431609 | Scott M. Graham | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2006-08-30 |
1760453294 | Scott C Graham | Anesthesiology | 1275 York Ave, New York, NY 10021-6007 | 2006-02-01 |
1619947058 | Scott James Graham | Pathology | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2006-01-26 |
Street Address |
EODMU 5 UNIT 25499 2112 SUMAY COVE DRIVE |
City | SANTA RITA |
State | GAUM |
Zip Code | 96915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205442738 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | U.s Naval Base Nex, Building 700 Navy Exchange Road, Santa Rita, GUAM 96915 | 2020-09-21 |
1518517457 | Chiaki Cherry | Technician | 175 Juaquin Aguon Rd., Yona, GU 96915 | 2019-09-12 |
1043798275 | Camille M Paulino | Behavior Technician | 152 Joaquin Perez Street, Santa Rita, GU 96915 | 2018-07-31 |
1578053690 | Tiffany Michelle Rios | Behavior Technician | 22 Laguna St, Santa Rita, GUAM 96915 | 2018-05-14 |
1457739369 | Kathryn Davis-finch | Marriage & Family Therapist | 1753 Halsey Dr., Piti, GU 96915 | 2015-05-12 |
1801235221 | Michelle Anne Lowery | Dental Hygienist | 5 Saipan Street, Santa Rita, GU 96915 | 2013-06-19 |
1487954863 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg # 6 Chapel Rd, Santa Rita, GU 96915 | 2010-11-01 |
1417191164 | Aurora-rhea P Miller-ramos | Contractor | 2239b Mcmillen Dr, Santa Rita, GUAM 96915 | 2009-04-24 |
1578743860 | Christopher George Boyce | Military Health Care Provider | Comsubron 15, Santa Rita, GUAM 96915 | 2007-11-05 |
1053591313 | Dennis W Davis | Military Health Care Provider | Uss Buffalo (ssn 715), Comnavmarianas, Santa Rita, GU 96915 | 2007-11-05 |
Find all providers in zip 96915 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144725839 | Eduardo Servin | Military Health Care Provider | Naval Base Guam, Eodmu 5, Santa Rita, GU 96540-0003 | 2018-03-26 |
1578743860 | Christopher George Boyce | Military Health Care Provider | Comsubron 15, Santa Rita, GUAM 96915 | 2007-11-05 |
1003009267 | Craig Steven Bosley | Military Health Care Provider | 10 Orote Point Rd, Santa Rita, GU 96915-1130 | 2007-08-21 |
1053380303 | Jason C Spurgers | Military Health Care Provider | 167 Plumeria, Santa Rita, GU 96915 | 2006-03-17 |
City | SANTA RITA |
Zip Code | 96915 |
Please comment or provide details below to improve the information on MR. SCOTT DAVID GRAHAM.
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.