Active NPI
Graham Michael Wilson, M.D.
- General Practice Physician
- Las Vegas, NV
National Provider Identifier
1386739696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 3724
- Practice address
- 7151 Cascade Valley CT Ste 200
Las Vegas, NV 89128-0498 - Phone
- (702) 568-8450
- Fax
- (702) 568-8451
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 3724 | NV | Primary |
Addresses
Primary practice location
7151 Cascade Valley CT Ste 200
Las Vegas, NV 89128-0498
Mailing address
7470 Dean Martin Dr
Ste 101
Las Vegas, NV 89139-5944
Phone (702) 568-8450
Other practice location 1
200 E Horizon Dr
Suite A
Henderson, NV 89015-8033
Phone (702) 568-8450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3724 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albion Medical Group of Nevada, PC | Past | Accepting new patients | |
| Physicians Medical Center Kaufman, LTD | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1578840724
-
- Pulmonary Disease Physician
- Las Vegas, NV
- NPI 1952356412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513468800000",
"number": "1386739696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7470 DEAN MARTIN DR",
"address_2": "STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891395944",
"telephone_number": "702-568-8450",
"fax_number": "702-568-8451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7151 CASCADE VALLEY CT STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280498",
"telephone_number": "702-568-8450",
"fax_number": "702-568-8451"
}
],
"practiceLocations": [
{
"address_1": "200 E Horizon Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890158033",
"country_code": "US",
"telephone_number": "702-568-8450",
"fax_number": "702-568-8451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "GRAHAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2017-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NV",
"license": "3724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.