Organization Active NPI

Becky Graham, D.O., P.C.

Doing business as Women's Care Connection

  • Obstetrics & Gynecology Physician
  • Kansas City, MO
National Provider Identifier
1093005423
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
103674 Issued in MO
Legal business name
BECKY GRAHAM, D.O., P.C.
Doing business as
Women's Care Connection
Practice address
1004 Carondelet Dr
Suite 460
Kansas City, MO 64114-4801
Phone
(816) 388-2229
Fax
(816) 872-1551
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Dr. Becky Graham, D.O.
Title
Physician & Ceo
Phone
(816) 388-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 103674 MO Primary

Addresses

Primary practice location

1004 Carondelet Dr
Suite 460
Kansas City, MO 64114-4801

Mailing address

1004 Carondelet Dr
Suite 460
Kansas City, MO 64114-4801
Phone (816) 388-2229

Other identifiers 3

IdentifierTypeStateIssuer
100330060MedicaidKS
245693403MedicaidMO
Y36C605OtherMOMEDICARE

Other names 1

  • Women's Care Connection Doing business as

National Provider Directory

National Provider Directory

Locations

1004 Carondelet Dr
Ste 460
Kansas City, MO 64114
Phone (816) 388-2229

1004 Carondelet Dr
Ste 4
Kansas City, MO 64114
Phone (816) 388-2229

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1093005423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 460",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144801",
            "telephone_number": "816-388-2229",
            "fax_number": "816-872-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 460",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144801",
            "telephone_number": "816-388-2229",
            "fax_number": "816-872-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKY GRAHAM, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "PHYSICIAN & CEO",
        "authorized_official_telephone_number": "816-388-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "103674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100330060",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245693403",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y36C605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Care Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.