| Dr Joseph E Graham, MD | |
|
5405 South 500 East, #200, Ogden, UT 84405 | |
| (801) 476-6900 | |
| (801) 476-6991 |
| Full Name | Dr Joseph E Graham |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 51 Years |
| Location | 5405 South 500 East, Ogden, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578638383 | NPI | - | NPPES |
| 52274351001 | Medicaid | UT |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Nicholas Professional Medical Services Of New York Llc | 7618231457 | 12 |
| Pelham Pkwy Professional Medical Services Of New York Llc | 9335404557 | 10 |
| Foxhurst Medical Of New York Llc | 6901151778 | 21 |
| Fordham Medical Of New York Llc | 4284972621 | 24 |
| Entity Name | St Nicholas Medical of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316471352 PECOS PAC ID: 1557628047 Enrollment ID: O20171208002582 |
| Entity Name | Pelham Pkwy Medical of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285156067 PECOS PAC ID: 4082976386 Enrollment ID: O20180327000712 |
| Entity Name | St Nicholas Professional Medical Services of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033631064 PECOS PAC ID: 7618231457 Enrollment ID: O20180503001031 |
| Entity Name | Pelham Pkwy Professional Medical Services of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063926962 PECOS PAC ID: 9335404557 Enrollment ID: O20180517001134 |
| Entity Name | Foxhurst Professional Medical Services of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366956260 PECOS PAC ID: 4688929771 Enrollment ID: O20180613001476 |
| Entity Name | Foxhurst Medical of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730547522 PECOS PAC ID: 6901151778 Enrollment ID: O20180619001805 |
| Entity Name | Norwood Medical of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336628130 PECOS PAC ID: 4284987454 Enrollment ID: O20181106000429 |
| Entity Name | Bushwick Medical of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720565922 PECOS PAC ID: 5092068262 Enrollment ID: O20181106000485 |
| Entity Name | Norwood Professional Medical Services of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528547312 PECOS PAC ID: 4183977366 Enrollment ID: O20181106000914 |
| Entity Name | Bushwick Professional Medical Services of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003393299 PECOS PAC ID: 0648516617 Enrollment ID: O20190111001240 |
| Entity Name | Fordham Medical of New York LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205332905 PECOS PAC ID: 4284972621 Enrollment ID: O20190211002377 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph E Graham, MD 5405 South 500 East, #200, Ogden, UT 84405 Ph: (801) 476-6900 | Dr Joseph E Graham, MD 5405 South 500 East, #200, Ogden, UT 84405 Ph: (801) 476-6900 |
Abhishek Krishna Kashyap, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd Ste 3500, Ogden, UT 84403 Phone: 801-387-3000 Fax: 801-387-3005 |