Teresa Roleen Graham

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TERESA ROLEEN GRAHAM

Practice address

1000 Pine St
Klamath Falls, OR 97601

Phone

(541) 883-1998

Fax

(541) 850-5226

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Teresa Roleen Graham, MDNPI 1568526952

Title

Owner

Phone

(541) 883-1998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Roleen Graham, MD

  • Ophthalmology Physician
  • Klamath Falls, OR
  • NPI 1568526952
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1336201235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-883-1998",
            "fax_number": "541-850-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-883-1998",
            "fax_number": "541-850-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA ROLEEN GRAHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ROLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-883-1998",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Robert Taylor III, DC
• Shayla Marie Taylor
• Vicky Dale Taylor
• Lieta Kathleen Taysom, LMT
• Jade Teixeira, PA-C
• Joel Mitchell Terhune, EMT-I
• Linda Margaret Terpening, FNP-C, PMHS
• Aaron Tesman, PA
• Linda M Tesman, PA
• The Breast Place of Southern Oregon, LLC

• Ophthalmology Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.