Treva J Graham (NPI# 1881773703, PAC ID# 0244264083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1881773703 |
PAC ID by PECOS | 0244264083 |
Professional Enrollment ID | I20100831000647 |
Full Name | Treva J Graham |
Organization Legal Name | GRAHAM FAMILY MEDICINE PLLC |
Address |
1002 Ne Hwy 66 Suite 2 Sayre OK 73662-9312 |
Phone Number | 5809282208 |
Gender | F |
Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
Graduation Year | 1999 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2769639780 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370019 | GREAT PLAINS REGIONAL MEDICAL CENTER |
371330 | MANGUM REGIONAL MEDICAL CENTER |
371303 | ROGER MILLS MEMORIAL HOSPITAL |
371325 | CORDELL MEMORIAL HOSPITAL |
370093 | OU MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
501 S Ll Males, Cheyenne, OK 73628 | 5804973336 | ROGER MILLS COUNTY HOSPITAL AUTHORITY |
1801 W 3rd St, 3 Great Plains Regional Medical Center, Elk City, OK 73644-5145 | 5802252511 | FARMERS UNION HOSPITAL ASSOCIATION |
1002 Ne Hwy 66, Suite 2, Sayre, OK 73662-9312 | 5809282208 | GRAHAM FAMILY MEDICINE PLLC |
Organization Legal Name | GRAHAM FAMILY MEDICINE PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rebecca Ruth Aldava | Physician Assistant | Graham Family Medicine Pllc | 1002 Ne Hwy 66, Suite 2, Sayre, OK 73662-9312 |
Street Address |
1002 NE HWY 66 SUITE 2 |
City | SAYRE |
State | OK |
Zip | 73662-9312 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rebecca Ruth Aldava | Physician Assistant | Graham Family Medicine Pllc | 1002 Ne Hwy 66, Suite 2, Sayre, OK 73662-9312 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie L Robison | Nurse Practitioner | Proximity Health Care LLC | 1415 N Watts, Sayre, OK 73662-1310 |
Louann Martin | Nurse Practitioner | Proximity Health Care LLC | 1415 N Watts, Sayre, OK 73662-1310 |
Melvin L Robison | Family Practice | Proximity Health Care LLC | 1415 N Watts, Sayre, OK 73662-1310 |
Kenneth E Whinery | Family Practice | 1505 N Watts, Sayre, OK 73662-1312 |
City | SAYRE |
Zip Code | 73662 |
Specialty | FAMILY MEDICINE |
City + Specialty | SAYRE + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.