Michelle L Graham, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35076652 Issued in OH

Practice address

1781 Countryside Dr
Lancaster, OH 43130-4056

Phone

(740) 687-8600

Fax

(740) 653-8236

NPI assigned

Dec 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

Medical College of Ohio, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Fairfield Healthcare Professionals IncGroup PAC ID 4789596362, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders Vna Home health agency, Lancaster, OH, CCN 367137
• Summit Orthopaedic Home Care Home health agency, Grandview Heights, OH, CCN 368154
• Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
• Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/
• Direct secure messaging: mgraham18873@copcp.medicity.net

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

• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Fairfield Healthcare Professionals Inc

  • Surgery Physician
  • Lancaster, OH
  • NPI 1457396368
  Medicare reassignment Care Compare group NPD
• Central Ohio Primary Care Physicians Inc

  • Hospitalist Physician
  • Westerville, OH
  • NPI 1518398866
  NPD
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD
• Fairfield Healthcare Professionals, Inc.

  • Urgent Care Clinic/Center
  • Lancaster, OH
  • NPI 1700334182
  NPD
• Fairfield Medical Center

  • General Acute Care Hospital
  • Lancaster, OH
  • NPI 1467433763
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affordable Home Health Care, LLC

  • Home Health Agency
  • Grandview Heights, OH
  • NPI 1861413999
  Care Compare affiliation
• Caretenders VS of Ohio, LLC

  • Home Health Agency
  • Lancaster, OH
  • NPI 1740434067
  Care Compare affiliation
• Fairfield Medical Center

  • General Acute Care Hospital
  • Lancaster, OH
  • NPI 1467433763
  Care Compare affiliation
• Hocking Valley Community Hospital

  • Critical Access Hospital
  • Logan, OH
  • NPI 1295840007
  Care Compare affiliation

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1164408258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 COUNTRYSIDE DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-8600",
            "fax_number": "740-653-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 COUNTRYSIDE DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-8600",
            "fax_number": "740-653-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35076652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000317283",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00085750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "510450201030",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Gorsuch
• Mary Francis Gorsuch, PRS
• Courtney Gossel, LCDCIII, MFT-T
• Michel Jane Gotwals, LISW
• Robert Lee Gould, LSW
• Grannies Cooked Delivered Meals LLC
• Granny,S Home Cooked Delivered Meals
• Sarah Louise Grate, R.N.
• Miranda Gray
• Misty Grayson

• Family Medicine Physician in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.