Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie E. T. Graham, PA-C, MPH

Individual provider Surgical Physician Assistant · NPI 1619258068

Mackenzie E. T. Graham, PA-C, MPH is a Physician Assistant in Dayton, Ohio. Qualified in 2011, 15 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Wyoming St
Dayton, OH 45409
Phone: (937) 208-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 003317 (OH)

Record details

NPI number1619258068
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPH
Sole proprietorNo
NPI enumeratedAugust 30, 2011
Last updated in NPPESAugust 30, 2011
Mailing address309 Ives Ln, Kettering, OH 45429-3006

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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