TAMARA KAY GRAVELLE P.A.
NPI 1932385762
Physician Assistant in Detroit, MI

Q: What is Tamara Gravelle's NPI number?

The NPI number for Tamara Gravelle is 1932385762. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Q: What is Tamara Gravelle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tamara Gravelle was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2008

2799 W GRAND BLVD, TRANSPLANT INSTITUTE UNIT H6, DETROIT, MI 48202(313) 916-0662 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Tamara Kay Gravelle P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA KAY GRAVELLE P.A. (NPI 1932385762) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601005139) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1932385762

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTAMARA KAY GRAVELLECredential: P.A.

Location Address2799 W GRAND BLVD, TRANSPLANT INSTITUTE UNIT H6Detroit, MI 48202-2608

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(313) 916-0662

Sole ProprietorYes

Enumeration DateJanuary 10, 2008

Last NPPES UpdateDecember 16, 2022

NPPES CertifiedDecember 16, 2022

✔ NPI 1932385762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601005139

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5601005139 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital