David Graham M.D., LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DAVID GRAHAM M.D., LLC

Practice address

319 Hospital Dr
Ste 208
Martinsville, VA 24112-1929

Phone

(276) 656-2103

NPI assigned

Dec 2, 2016

Last updated

Dec 2, 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

Cassie J Waltz

Title

Provider Enrollment Consultant

Phone

(615) 567-7869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• L. David Graham, M.D.

  • Surgery Physician
  • Martinsville, VA
  • NPI 1275930554
  Medicare reassignment NPD

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1205379609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR",
            "address_2": "STE 208",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121929",
            "telephone_number": "276-656-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR",
            "address_2": "STE 208",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121929",
            "telephone_number": "276-656-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GRAHAM M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT CONSULTANT",
        "authorized_official_telephone_number": "615-567-7869"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Andrew Daniels, PHARMD
• Henry Hinton Daniels Jr., MA, LPC
• Danville Regional Medical Center LLC (SOVAH Health Martinsville)
• Danville Regional Medical Center LLC (SOVAH Health Martinsville)
• Danville Regional Medical Center, LLC (SOVAH Health Martinsville)
• David W Roycroft MD Inc
• Michael Kevin David, DO
• Desiree Davis, FNP-C
• John Jackson Davis, DDS
• Troy Anthony Davis, MD

• Surgery Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.