Graham Glass MD, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

6563 Issued in AK

Legal business name

GRAHAM GLASS MD, LLC

Practice address

2440 E Tudor Rd
PMB #1111
Anchorage, AK 99507-1185

Phone

(800) 764-7690

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Graham A Glass, M.D.NPI 1881671907

Title

Member

Phone

(800) 764-7690

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10055/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Graham A Glass, M.D.

  • Neurology Physician
  • San Francisco, CA
  • NPI 1881671907
  NPD Authorized official

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1366715245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E TUDOR RD",
            "address_2": "PMB #1111",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071185",
            "telephone_number": "800-764-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 E TUDOR RD",
            "address_2": "PMB #1111",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071185",
            "telephone_number": "800-764-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM GLASS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "800-764-7690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AK",
            "license": "6563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graceful Living LLC
• Graceful Living LLC
• Graceful Touch Transitional Services Inc.
• Gracious Heart Assisted Home
• Ekaterina Gradinar
• Natalie Graham, NP
• Samista Maharjan Graham
• Sandra L Graham, P.T.
• Abigail L Granath, PA-C
• Grand Rising Transitional Housing

• Neurology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Neurology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.