Robert S Graves, D.C.,C.C.S.P.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4367 Issued in OH

Practice address

46 Ravenna St
Ste a -4
Hudson, OH 44236-3033

Phone

(330) 650-0322

NPI assigned

Mar 9, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pleasant Valley Chiropractic Clinic, Inc.

  • Chiropractor
  • Cleveland, OH
  • NPI 1952514754
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1992837512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 RAVENNA ST",
            "address_2": "STE A -4",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363033",
            "telephone_number": "330-650-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RAVENNA ST",
            "address_2": "STE A -4",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363033",
            "telephone_number": "330-650-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.,C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "4367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gill, LPCC
• Regina Marie Goeke
• Joao Antonio Gomes, M.D.
• Whitney Gordon, FNP-C
• Lindsey Kay Grabfelder
• Tiason Gray
• Great Lakes Medical Solutions, Inc.
• Meggan Greenbaum
• Christina Marie Grezlik, STNA
• Suzanne Grimm

• Sports Physician Chiropractor in Hudson, OH
• Providers in Hudson, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.