Active NPI
Ashley Maemichelle Graham, PA-C
- Physician Assistant
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0033669
- Practice address
- 3205 Woodman Dr
Dayton, OH 45420-1143 - Phone
- (937) 298-4417
- Fax
- (937) 298-8260
- NPI assigned
- Nov 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0033669 | OH | Primary |
Addresses
Primary practice location
3205 Woodman Dr
Dayton, OH 45420-1143
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779
Other practice location 1
33 W Rahn Rd
#102
Dayton, OH 45429-2219
Phone (937) 433-8990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0079302 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Loma Linda University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3205 Woodman Dr
Dayton, OH 45420-1143
Phone (937) 298-4417
6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700
6480 Harrison Ave
Suite 201
Cincinnati, OH 45247-7961
70 Weller Dr
Tipp City, OH 45371-3306
Phone (937) 669-0909
Hospital & facility affiliations
- Miami Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0033669 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Orthopaedics & Sports Medicine, LTD | Physician Assistant | Current | Accepting new patients |
| Beacon Orthopaedics & Sports Medicine LTD | Current | Accepting new patients |
Locations
6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650
6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827
3205 Woodman Dr
Kettering, OH 45420
Phone (937) 298-4417
70 Weller Dr
Tipp City, OH 45371
Phone (937) 298-4417
Interoperability endpoints
- agraham@direct-orthodayton.com
- ashley.graham.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Cincinnati, OH
- NPI 1386670065
Physician Assistant
-
- Orthopaedic Foot and Ankle Surgery Physician
- Worthington, OH
- NPI 1699472878
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1962746347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-713-1779",
"fax_number": "513-713-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 WOODMAN DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201143",
"telephone_number": "937-298-4417",
"fax_number": "937-298-8260"
}
],
"practiceLocations": [
{
"address_1": "33 W Rahn Rd",
"address_2": "#102",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454292219",
"country_code": "US",
"telephone_number": "937-433-8990",
"fax_number": "937-433-8691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "ASHLEY",
"middle_name": "MAEMICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-25",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "0033669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0079302",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.