Kraig S Graham, MD | |
5838 Harbour View Blvd, Suite 108, Suffolk, VA 23435-2663 | |
(757) 673-5680 | |
(757) 483-3075 |
Full Name | Kraig S Graham |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 5838 Harbour View Blvd, Suffolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174755961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 0101259090 (Virginia) | Primary |
Entity Name | Glade Run Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881820850 PECOS PAC ID: 3577696897 Enrollment ID: O20100806000006 |
Mailing Address | Practice Location Address |
---|---|
Kraig S Graham, MD 7007 Harbour View Blvd 108, Suffolk, VA 23435-3657 Ph: (757) 215-2784 | Kraig S Graham, MD 5838 Harbour View Blvd, Suite 108, Suffolk, VA 23435-2663 Ph: (757) 673-5680 |
Aaron L Marlow, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Michael Andrew Caines, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Jeffrey B Persons, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2012 Meade Pkwy, Suffolk, VA 23434 Phone: 757-673-5680 Fax: 757-539-5735 | |
Ernesto Luciano-perez, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Dr. Bryan Alan Fox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Burnetts Way, Ste. 100, Suffolk, VA 23434 Phone: 757-547-5145 | |
Wayne T Johnson, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-397-0236 |