Stephen C. Graves, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R-2330 Issued in AR

Practice address

East Main & South 20TH Street
Van Buren, AR 72957

Phone

(479) 474-3401

Fax

(479) 471-4388

NPI assigned

Jan 12, 2006

Last updated

Apr 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nes Arkansas, Inc.

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1184615551
  NPD (past)
• Nes Western Arkansas, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Van Buren, AR
  • NPI 1982715058
  NPD (past)
• St Edward Medical Services, Inc.

  dba Van Buren Medical Clinic

  • Primary Care Clinic/Center
  • Van Buren, AR
  • NPI 1588878466
  NPD (past)
• Van Buren Hma Inc

  dba Van Buren Physicians Services

  • Anesthesiology Physician
  • Van Buren, AR
  • NPI 1093755654
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1033198619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N",
            "address_2": "SUITE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643528",
            "telephone_number": "800-507-8874",
            "fax_number": "727-536-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST MAIN & SOUTH 20TH STREET",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "72957",
            "telephone_number": "479-474-3401",
            "fax_number": "479-471-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "STEPHEN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "R-2330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105519001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "51972",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Michele Grace
• Graham Cloverleaf Optical Inc.
• Kelly Leigh Graham, O.D.
• Kevin Franklin Graham, HHP.BC-HIS
• Kristy L Graham, D.C.
• Ashlee Nicole Greb
• Micah Nathan Green
• Ezekiel Gregory
• Griffin Orthopedics & Sports (Complete Orthopaedic & Sports Medicine Center)
• Frankie M Griffin, M.D.

• Emergency Medicine Physician in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.