David Anthony Graham, M.D.

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

269255 Issued in NY

Practice address

6536 Anthony Dr Ste C
Suite C
Victor, NY 14564-1419

Phone

(585) 300-4575

Fax

(585) 300-0703

NPI assigned

Sep 29, 2008

Last updated

Sep 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guthrie Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Corning, NY
  • NPI 1134178635
  Medicare reassignment NPD
• Graham Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Victor, NY
  • NPI 1689021123
  Authorized official Same address or phone
• Heidi Lynn Yip, NP in Acute Care PLLC

  • Acute Care Nurse Practitioner
  • Victor, NY
  • NPI 1750077897
  NPD

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1134379902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 ANTHONY DR STE C",
            "address_2": "SUITE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641419",
            "telephone_number": "585-300-4575",
            "fax_number": "585-300-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 ANTHONY DR STE C",
            "address_2": "SUITE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641419",
            "telephone_number": "585-300-4575",
            "fax_number": "585-300-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "269255",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "269255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Gill
• Katharine Giordano, MS/CAS, NCSP
• Abigail Gisondi, RN
• Jenna Anne Gonillo-Davis, NP
• Graham Plastic Surgery PLLC
• Katelyn Elizabeth Gregory, LMSW
• Emily Gressel
• Patricia Grosodonia, MS.E SPECIAL ED
• Brian Grossman, LMSW
• Theresa E Grygotis, COTA

• Surgery of the Hand (Plastic Surgery) Physician in Victor, NY
• Providers in Victor, NY by specialty
• Surgery of the Hand (Plastic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.