Donna Marie Graessle, DO

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0526237 Issued in KS

Practice address

10200 W 105TH St
Overland Park, KS 66212-5750

Phone

(913) 495-9600

Fax

(913) 599-0951

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1528041472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125750",
            "telephone_number": "913-495-9600",
            "fax_number": "913-599-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125750",
            "telephone_number": "913-495-9600",
            "fax_number": "913-599-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAESSLE",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "0526237",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "R7J11",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2456436903",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Rehabilitation of Overland Park, LLC
• Graceful Wellness and Med Spa, LLC
• Edith Gracius, APRN, PMHNP-BC
• Stephen C Gradwohl, D.C.
• Tracy Jane Graebener, FNP
• John Alex Gragg
• Saxton Gragg, ARNP
• Anne L. Graham, LMFT
• Elizabeth Jo Graham, LCPC
• Megan Sue Graham

• Gastroenterology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Gastroenterology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.