MR. COLE BLEASE GRAHAM III (NPI# 1952387235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952387235 |
| Entity Type | Individual |
| Full Name | MR. COLE BLEASE GRAHAM III |
| Credential | M.D. |
| Practice Address |
77 Pringle Way Reno NV 89502-1474 |
| Mailing Address |
1519 Marion St Pitts Radiological Associates Columbia SC 29220-2910 |
| Practice Telephone | 7758231999 |
| Practice Fax Number | 7758231966 |
| Mailing Telephone | 8032965954 |
| Mailing Fax Number | 8032963076 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2013-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11404 | NV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100506808 | 05 |
| Street Address |
77 PRINGLE WAY |
| City | RENO |
| State | NV |
| Zip Code | 89502-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467708 | Warren Lance Mays | Specialist | 77 Pringle Way, Reno, NV 89502-1474 | 2005-12-13 |
| 1255374419 | Ernest C Hong | Pathology | 77 Pringle Way, Washoe Medical Center, Reno, NV 89502 | 2006-06-14 |
| 1245273408 | Dennis A Mackey | Pathology | 77 Pringle Way, Washoe Medical Center, Reno, NV 89502 | 2006-06-14 |
| 1801839956 | John N Odonnell | Pathology | 77 Pringle Way, Washoe Medical Center, Reno, NV 89502 | 2006-06-14 |
| 1114960267 | Ellen G I Clark | Pathology | 77 Pringle Way, Washoe Medical Center, Reno, NV 89502 | 2006-06-14 |
| 1588637086 | Carlo Niguidula | Family Medicine | 77 Pringle Way, Reno, NV 89502-1474 | 2006-02-07 |
| 1477526978 | Rebeca G. Hamilton | Internal Medicine | 77 Pringle Way, Reno, NV 89502-1474 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734296 | Christi Maryjo Mannos | Specialist | 10655 Professional Cir Ste A, Reno, NV 89521-5840 | 2020-09-14 |
| 1538614771 | Lisa Gehring | Specialist | 3800 S Virginia St, Reno, NV 89502-6005 | 2016-08-17 |
| 1972910065 | Joseph Reinkemeyer | Specialist | 1281 Skyline Blvd, Reno, NV 89509-3585 | 2014-07-21 |
| 1558787408 | Medical Billing of Northern Nevada | Specialist | 1 E Liberty St Fl 6, Reno, NV 89501-2110 | 2014-03-14 |
| 1093071524 | Scott Bauer | Specialist | 3680 Grant Dr Ste C, Reno, NV 89509-5477 | 2012-04-10 |
| 1801188099 | Virginia A Kitzke | Specialist | 155 Lancaster Dr, Suite # 3a, Reno, NV 89506-1992 | 2011-05-06 |
| 1548551518 | Jonathan Arnow | Specialist | 3301 Ponderosa Pine Court, Reno, NV 89519 | 2011-04-26 |
| 1639474299 | Matthew Dittrich | Specialist | 6685 Enchanted Valley Dr, Reno, NV 89523-1758 | 2011-01-12 |
| 1831410901 | Jessika Sota | Specialist | 150 W Huffaker Ln Ste 105, Reno, NV 89511-2098 | 2010-06-11 |
| 1669798153 | Madelaine C Bodholdt | Specialist | 150 W Huffaker Lane, Ste 105, Reno, NV 89511-2092 | 2010-04-09 |
| Find all providers in RENO | ||||
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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.