Daniel J. Graham, D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101008182 Issued in MI

Legal business name

DANIEL J. GRAHAM, D.O., P.C.

Practice address

925 S Beechtree St
Suite 1a
Grand Haven, MI 49417-2387

Phone

(616) 842-5610

Fax

(616) 842-3317

NPI assigned

Jan 11, 2016

Last updated

Jan 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel J. Graham, D.O.

Title

President

Phone

(616) 842-5610

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1184080806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S BEECHTREE ST",
            "address_2": "SUITE 1A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172387",
            "telephone_number": "616-842-5610",
            "fax_number": "616-842-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S BEECHTREE ST",
            "address_2": "SUITE 1A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172387",
            "telephone_number": "616-842-5610",
            "fax_number": "616-842-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. GRAHAM, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-842-5610",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575569",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew A Cureton, MD
• Anna Cwiok, CCC-SLP
• Rebecca Anneliese Dalman, MA
• Mary Dandron
• Laura Danhoff, DPT
• Darren Riopelle D.D.S.
• Julia Kathryn Davey, MD
• Lindsay Davis
• Sheila S Day, LMSW
• Isolde Deal

• Family Medicine Physician in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.