Clarence R Graves (NPI# 1568468437, PAC ID# 4688602600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1568468437 |
PAC ID by PECOS | 4688602600 |
Professional Enrollment ID | I20120524000703 |
Full Name | Clarence R Graves |
Organization Legal Name | MARTIN MEMORIAL MEDICAL CENTER INC |
Address |
200 Se Hospital Ave Stuart FL 34994-2346 |
Phone Number | 7722235665 |
Gender | M |
Credential | PA |
Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1992 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 2961300611 |
Number of Group Practice Members | 45 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100044 | MARTIN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
200 Hospital Ave, Stuart, FL 34994-2338 | 7722235665 | MARTIN MEMORIAL PHYSICIANS CORPORATION |
200 Se Hospital Ave, Stuart, FL 34994-2346 | 7722235665 | MARTIN MEMORIAL MEDICAL CENTER INC |
509 Se Riverside Dr, Stuart, FL 34994-2579 | 7722885862 | MARTIN MEMORIAL MEDICAL CENTER INC |
Organization Legal Name | MARTIN MEMORIAL MEDICAL CENTER INC |
Physicians | 46 |
Name | Specialty | Organization | Address |
---|---|---|---|
Philip F Bongiorno | Thoracic Surgery | Martin Memorial Medical Center Inc | 509 Se Riverside Dr, Stuart, FL 34994-2579 |
Victoria S Jones | Nurse Practitioner | Martin Memorial Medical Center Inc | 501 Se Osceola St, Suite 100, Stuart, FL 34994-2302 |
Charles D Phillips | Orthopedic Surgery | Martin Memorial Medical Center Inc | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 |
Carlos Maldonado | General Surgery | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Joseph S Gage | Cardiovascular Disease (cardiology) | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Kiran Reddy | Radiation Oncology | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Norman E Bennett | Cardiovascular Disease (cardiology) | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Kunal Chaudhry | Cardiac Surgery | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Abigayle Gilley | Physician Assistant | Martin Memorial Medical Center Inc | 509 Se Riverside Dr, Stuart, FL 34994-2579 |
Taylor Leigh Vanderark | Nurse Practitioner | Martin Memorial Medical Center Inc | 501 Se Osceola St, Suite 100, Stuart, FL 34994-2302 |
Street Address |
200 SE HOSPITAL AVE |
City | STUART |
State | FL |
Zip | 34994-2346 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert Charles Layland | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Carlos Maldonado | General Surgery | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Joseph S Gage | Cardiovascular Disease (cardiology) | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Melanie M Hovda | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Andrea D Waters | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Kiran Reddy | Radiation Oncology | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Basel Jazbeh | Anesthesiology | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Lidiya Pastukh | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Norman E Bennett | Cardiovascular Disease (cardiology) | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Kunal Chaudhry | Cardiac Surgery | Martin Memorial Medical Center Inc | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Simona Silvestri | Nurse Practitioner | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
Frances P Holliday | Clinical Social Worker | 759 S Federal Hwy, Suite 304, Stuart, FL 34994 | |
Stephen Adler | Plastic and Reconstructive Surgery | 323 Osceola St, Stuart, FL 34994 | |
Shawn R Sorensen | Psychologist, Clinical | 400 N Dixie Hwy, Stuart, FL 34994 | |
Robert L Schellenberg | Chiropractic | 1200 S Kanner Hwy, Stuart, FL 34994 | |
Claude Sassoon | Clinical Psychologist | 850 Nwfederal Hwy 232, Stuart, FL 34994 | |
Elizabeth A Reynolds | Nurse Practitioner | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
Patricia A Molle | Nurse Practitioner | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
John R Collins | Emergency Medicine | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
Gina C Petrakos | Emergency Medicine | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
Find all physicians in zip 34994 |
City | STUART |
Zip Code | 34994 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | STUART + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Clarence R Graves.
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.