NPIMap

Organization Active NPI

Alan D Graham

  • Surgery Physician
  • London, KY
National Provider Identifier
1073711339
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24150 Issued in KY
Legal business name
ALAN D GRAHAM
Practice address
200 City Hill Drive
London, KY 40741-3038
Phone
(606) 878-6633
Fax
(606) 878-5883
NPI assigned
Jul 10, 2007
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Mr. Alan D Graham, MDNPI 1598876328
Title
MD General Surgeon
Phone
(606) 878-6633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 24150 KY Primary

Addresses

Primary practice location

200 City Hill Drive
London, KY 40741-3038

Mailing address

PO Box 1067
London, KY 40743-1067
Phone (606) 878-6633

Other identifiers 2

IdentifierTypeStateIssuer
64241508MedicaidKY
020042779OtherRAILROAD MEDICARE GRAHAM

Other names 1

  • Alpha Surgical Specialists Other name

National Provider Directory

National Provider Directory

Locations

200 City Hill Dr
Ste 201
London, KY 40741
Phone (606) 878-6633

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1073711339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1067",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407431067",
            "telephone_number": "606-878-6633",
            "fax_number": "606-878-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CITY HILL DRIVE",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413038",
            "telephone_number": "606-878-6633",
            "fax_number": "606-878-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN D GRAHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD GENERAL SURGEON",
        "authorized_official_telephone_number": "606-878-6633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "24150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64241508",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRAHAM",
            "identifier": "020042779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Surgical Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.