MARY EVELYN GRABER M.D. NPI 1427097682

NPI Information

NPI: 1427097682
Provider Name: MARY EVELYN GRABER, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
611 E DOUGLAS
SUITE 309
MISHAWAKA, IN
ZIP 46545
Phone: (574) 252-2640
Get Directions

Mary Evelyn Graber, M.D. is a pediatrics in Mishawaka, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mary Evelyn Graber, M.D. NPI is 1427097682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

611 E DOUGLAS
SUITE 309
MISHAWAKA, IN
ZIP 46545-467
Phone: (574) 252-2640
Fax: (574) 252-2650

The enumeration date for this NPI number is 6/5/2006 and was last updated on 9/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	01031977	INDIANA	No
2	208000000X	Pediatrics		01031977	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000269216	OTHER	INDIANA	BCBS
2	000000542787	OTHER	INDIANA	BCBS
3	200069280A	MEDICAID	INDIANA
4	A17345	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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