DRS Graham & Graham LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-003032 Issued in IL

Legal business name

DRS GRAHAM & GRAHAM LTD

Practice address

102 W Kenwood Ave
Suite 150
Decatur, IL 62526-4368

Phone

(217) 875-3668

Fax

(217) 845-4277

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terrence M Graham, DPM, FACFAS

Title

President

Phone

(271) 875-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Drs Graham & Graham LTD Doing business as

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1023220720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W KENWOOD AVE",
            "address_2": "SUITE 150",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264368",
            "telephone_number": "217-875-3668",
            "fax_number": "217-845-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W KENWOOD AVE",
            "address_2": "SUITE 150",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264368",
            "telephone_number": "217-875-3668",
            "fax_number": "217-845-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GRAHAM & GRAHAM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "271-875-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, FACFAS"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-003032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP",
            "identifier": "CC0187",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Graham & Graham LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr James E Davis Jr
• Tessa Drake
• Stephan R Draughan, PHARMD
• Joe Drew, LPC
• Julie Lynn Drew, M.A. CCC-SLP
• Leanne Dsouza
• Linda Diane Ducey
• George Duncan, M.D.
• Teresa Diane Duncan, CRNA
• Diane Dunn

• Foot & Ankle Surgery Podiatrist in Decatur, IL
• Providers in Decatur, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.