Vivian Lee Graham (NPI# 1437128873, PAC ID# 7214986504) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1437128873 |
| PAC ID by PECOS | 7214986504 |
| Professional Enrollment ID | I20050113000379 |
| Full Name | Vivian Lee Graham |
| Organization Legal Name | NORTHERN NEVADA MEDICAL GROUP, LLC |
| Address |
5070 Ion Dr Suite 200 Sparks NV 89436-1654 |
| Phone Number | 7753525335 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214093020 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291313 | |
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| 290032 | NORTHERN NEVADA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5070 Ion Dr, Suite 200, Sparks, NV 89436-1654 | 7753525335 | NORTHERN NEVADA MEDICAL GROUP, LLC |
| 5070 Ion Dr, Sparks, NV 89436-1654 | 7753525335 | NORTHERN NEVADA MEDICAL GROUP, LLC |
| Organization Legal Name | NORTHERN NEVADA MEDICAL GROUP, LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claire Marie Faust Nichols | Physician Assistant | Northern Nevada Medical Group, LLC | 5265 Vista Blvd, Bldg B, Sparks, NV 89436-0836 |
| Jennifer A Harrington | Nurse Practitioner | Northern Nevada Medical Group, LLC | 5975 S Los Altos Pkwy, Suite 100, Sparks, NV 89436-7699 |
| Thomas N Truong | Interventional Cardiology | Northern Nevada Medical Group, LLC | 1020 New River Pkwy, Suite 301, Fallon, NV 89406-7811 |
| Chris B Mathis | Family Medicine | Northern Nevada Medical Group, LLC | 5575 Kietzke Lane, Reno, NV 89511-2085 |
| Thomas V Mccormick | General Surgery | Northern Nevada Medical Group, LLC | 1020 New River Pkwy, Suite 301, Fallon, NV 89406-7811 |
| Nisreen H Yaghmour | Cardiac Electrophysiology | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Dana Janeen Julian | Nurse Practitioner | Northern Nevada Medical Group, LLC | 5070 Ion Dr, Suite 200, Sparks, NV 89436-1654 |
| Usha K Nuthi | Neurology | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Wynter N Phoenix | General Surgery | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 205, Sparks, NV 89434-9688 |
| Todd F Inman | Family Medicine | Northern Nevada Medical Group, LLC | 2345 E Prater Way, Suite 100, Sparks, NV 89434-9664 |
| Street Address |
5070 ION DR SUITE 200 |
| City | SPARKS |
| State | NV |
| Zip | 89436-1654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Chece | Family Medicine | Saint Marys Urgent Care LLC | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Danielle L Dullinger | Physician Assistant | Saint Marys Urgent Care LLC | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Sridevi Challapalli | Cardiovascular Disease (cardiology) | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| John Sutherland | Diagnostic Radiology | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Veronica M Sutherland | Family Medicine | Saint Marys Urgent Care LLC | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Rex Weeks | Physician Assistant | Saint Marys Urgent Care LLC | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Sangeeta S Wagner | Family Medicine | Saint Marys Urgent Care LLC | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Thomas J Hope | Internal Medicine | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Charmaine C Cruet | Nurse Practitioner | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Sara Douglas | Nurse Practitioner | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claire Marie Faust Nichols | Physician Assistant | Northern Nevada Medical Group, LLC | 5265 Vista Blvd, Bldg B, Sparks, NV 89436-0836 |
| Abigail Osborne | Physician Assistant | Northern Nevada Medical Group, LLC | 5265 Vista Blvd, Bldg B, Sparks, NV 89436-0836 |
| Jeffrey D Webster | Orthopedic Surgery | Reno Orthopaedic Clinic Inc | 5070 Ion Dr, Sparks, NV 89436-1654 |
| Christina Calvanese | Internal Medicine | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Kellie Lynn Kopp | Physician Assistant | Reno Orthopaedic Clinic Inc | 5070 Ion Dr, Sparks, NV 89436-1654 |
| Heesuck Michael Noh | Diagnostic Radiology | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Mark D Mcallister | Diagnostic Radiology | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Kristin A Laxalt | Family Medicine | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Dana Janeen Julian | Nurse Practitioner | Northern Nevada Medical Group, LLC | 5070 Ion Dr, Suite 200, Sparks, NV 89436-1654 |
| Katie A Dolan | Family Medicine | Saint Marys Medical Group Inc | 5070 Ion Dr, Suite 100, Sparks, NV 89436-1654 |
| Find all physicians in zip 89436 | |||
| City | SPARKS |
| Zip Code | 89436 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPARKS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Vivian Lee Graham.
| 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.