Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962025486 Individual Practitioner Male Practitioner

Ellis Martinez Graham

Peer Specialist • North Olmsted, OH

Professional Overview & Biography Verified Profile Summary

Ellis Graham is a registered healthcare professional specializing in Peer Specialist in North Olmsted, OH. Practice services are available at 24695 MAPLE RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24695 Maple Ridge Rd

North Olmsted, OH 440701274

Telephone 2162785702

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in North Olmsted, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
3 Specialists

Practicing in North Olmsted, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-19
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 19, 2020

NPI status registered as active in NPPES database

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Updated Practice Location May 19, 2020

Registered at 24695 MAPLE RIDGE RD, NORTH OLMSTED, OH 440701274 (Tel: 2162785702)

📍
Updated Business Mailing Address May 19, 2020

Registered at 24695 MAPLE RIDGE RD, NORTH OLMSTED, OH 440701274 (Tel: 2162785702)

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Provider Name / Credentials Updated May 19, 2020

Recorded as ELLIS GRAHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2020

Peer Specialist

🟢
Initial NPI Registration & Enumeration May 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962025486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2020
Last Update: May 19, 2020
Sole Proprietor: Yes

Mailing Address

24695 Maple Ridge Rd

North Olmsted, OH 440701274

Phone: 2162785702

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.