Active NPI
William T Graff, M.D.
- Family Medicine Physician
- St George, UT
National Provider Identifier
1487667473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 124012
- Practice address
- 630 S 400 E Ste 101
St George, UT 84770-3765 - Phone
- (435) 673-9653
- Fax
- (435) 673-9008
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 124012 | UT | Primary |
Addresses
Primary practice location
630 S 400 E Ste 101
St George, UT 84770-3765
Mailing address
630 S 400 E Ste 101
St George, UT 84770-3765
Phone (435) 673-9653
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2965 | Other | UT | PEHP |
| 870376618GR1 | Other | UT | EDUCATORS HEALTH |
| 107007727104 | Other | UT | SELECTHEALTH |
| 36074 | Other | UT | DMBA |
| 38520 | Other | UT | TRICARE |
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 |
|---|---|---|---|
| 124012 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enterprise Valley Med Ctr Inc | Past | Accepting new patients |
Interoperability endpoints
- william.graff@evmc.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Clinic Pharmacy
- Enterprise, UT
- NPI 1649335761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1487667473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 S 400 E STE 101",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703765",
"telephone_number": "435-673-9653",
"fax_number": "435-673-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S 400 E STE 101",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703765",
"telephone_number": "435-673-9653",
"fax_number": "435-673-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAFF",
"first_name": "WILLIAM",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "124012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "2965",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS HEALTH",
"identifier": "870376618GR1",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECTHEALTH",
"identifier": "107007727104",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "36074",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "38520",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.