Thomas G Gragnola (NPI# 1144220765, PAC ID# 9638203078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144220765 |
| PAC ID by PECOS | 9638203078 |
| Professional Enrollment ID | I20100819001264 |
| Full Name | Thomas G Gragnola |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE GROUP PC |
| Address |
9555 Sw Barnes Rd Suite 255 Portland OR 97225-6654 |
| Phone Number | 5039081590 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE, GENERAL PRACTICE, PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 7214235258 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 | 5039081590 | ADVANCED INTERNAL MEDICINE GROUP PC |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE GROUP PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn G Kolonic | Family Practice | Advanced Internal Medicine Group PC | 18603 Willamette Dr, West Linn, OR 97068-1705 |
| Jill E Miller | Internal Medicine | Advanced Internal Medicine Group PC | 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 |
| Catheryne Leon | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Filippa Petruccelli | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Alexander Roth | Internal Medicine | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Leon E Schwechter | Internal Medicine | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Erin K Morrissey | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Jennifer M. Oneill | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Javier Morales | Internal Medicine | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Malcolm L Mcaninch | Internal Medicine | Advanced Internal Medicine Group PC | 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 |
| Street Address |
9555 SW BARNES RD SUITE 255 |
| City | PORTLAND |
| State | OR |
| Zip | 97225-6654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Megan Koski-vogt | Certified Nurse Midwife (cnm) | Women's Healthcare Associates LLC | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6668 |
| Jill E Miller | Internal Medicine | Advanced Internal Medicine Group PC | 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 |
| Kristen Tervo | Physical Therapy | Northwest Cancer Specialists PC | 9555 Sw Barnes Rd, Suite 150, Portland, OR 97225-6668 |
| Damon A. Warhus | Obstetrics/gynecology | Women's Healthcare Associates LLC | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6668 |
| Sarah E Bodian | Certified Nurse Midwife (cnm) | Women's Healthcare Associates LLC | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6668 |
| Julianna Lucisano | Clinical Social Worker | Women's Healthcare Associates LLC | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6668 |
| Mary E Skrypzak | Obstetrics/gynecology | Women's Healthcare Associates LLC | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6668 |
| Thomas Lee | Obstetrics/gynecology | Women's Healthcare Associates LLC | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6668 |
| Bailey A Hasty | Physician Assistant | Women's Healthcare Associates LLC | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6668 |
| Erin Salinas | Gynecological Oncology | Northwest Cancer Specialists PC | 9555 Sw Barnes Rd, Suite 150, Portland, OR 97225-6668 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn L Finseth | Chiropractic | 4850 Sw Scholls Ferry Rd, Suite 205, Portland, OR 97225-1692 | |
| Ayla Jade Himmelsbach | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Mary A Domm | Chiropractic | 8550 Sw Apple Way, Portland, OR 97225-1772 | |
| David J Mcbride | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Jeffrey E Devine | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Christine Rose Adriano Walty | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Ronald E Pacheco | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Barry D Shulak | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Robert D Peek | Optometry | 5045 Sw 77th Ave, Portland, OR 97225-1812 | |
| William F Mcbride | Family Medicine | 4475 Sw Scholls Ferry Rd, Suite 150, Portland, OR 97225-1957 | |
| Find all physicians in zip 97225 | |||
| City | PORTLAND |
| Zip Code | 97225 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PORTLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Thomas G Gragnola.
| 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.