Active NPI
CRG MD PA
Doing business as Salina Women's Clinic
- Obstetrics & Gynecology Physician
- Salina, KS
National Provider Identifier
1174827646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0432190
- Legal business name
- CRG MD PA
- Doing business as
- Salina Women's Clinic
- Practice address
- 135 E Claflin Ave
Salina, KS 67401-6145 - Phone
- (785) 827-7996
- Fax
- (785) 825-4490
- NPI assigned
- Dec 27, 2010
- Last updated
- Dec 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Ross Graber, M.D.
- Title
- Owner
- Phone
- (785) 827-7996
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0432190 | KS | Primary |
Addresses
Primary practice location
135 E Claflin Ave
Salina, KS 67401-6145
Mailing address
135 E Claflin Ave
Salina, KS 67401-6145
Phone (785) 827-7996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200612390B | Medicaid | KS |
Other names 1
- Salina Women's Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Salina, KS
- NPI 1760600415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1174827646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 E CLAFLIN AVE",
"city": "SALINA",
"state": "KS",
"postal_code": "674016145",
"telephone_number": "785-827-7996",
"fax_number": "785-825-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E CLAFLIN AVE",
"city": "SALINA",
"state": "KS",
"postal_code": "674016145",
"telephone_number": "785-827-7996",
"fax_number": "785-825-4490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRG MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-27",
"last_updated": "2011-12-29",
"status": "A",
"authorized_official_last_name": "GRABER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "785-827-7996",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "0432190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200612390B",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Salina Women's Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.