Roger Winfield Graham, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD00021129 Issued in WA

Practice address

1737 Airport Way S Ste 200
Quest Diagnostics
Seattle, WA 98134-1636

Phone

(206) 623-8100

NPI assigned

Nov 15, 2005

Last updated

May 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Miggins & Miggins, Inc.

  • Chiropractor
  • Bainbridge Island, WA
  • NPI 1972641777
  NPD (past)
• Puget Sound Institute of Pathology PLLC

  • Anatomic Pathology Physician
  • Seattle, WA
  • NPI 1992787030
  NPD (past)
• Puget Sound Institute of Pathology, PLLC

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1720392806
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1245212307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 AIRPORT WAY S STE 200",
            "address_2": "QUEST DIAGNOSTICS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341636",
            "telephone_number": "206-623-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 AIRPORT WAY S STE 200",
            "address_2": "QUEST DIAGNOSTICS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341636",
            "telephone_number": "206-623-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ROGER",
        "middle_name": "WINFIELD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD00021129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA ST LABOR INDUSTRIES",
            "identifier": "81407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8153462",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA ST LABOR INDUSTRIES",
            "identifier": "66863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Angela Graham, RD
• Margaret Anne Graham, OT
• Mary Amanda Graham, PHD, NCC, LMHC
• Michael Steven Graham, MD
• Robin S Graham, LPN
• Susan Marie Graham, M.D.
• Tara L Graham, RRT
• Terri Marie Graham, MD
• Terry Lee Graham, P.T.
• Tychelle Graham, LWSAIC

• Anatomic Pathology & Clinical Pathology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.