Organization Active NPI

Stuart M. Graham Jr MD PL

  • Anatomic Pathology & Clinical Pathology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1528135266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME37835 Issued in FL
Legal business name
STUART M. GRAHAM JR MD PL
Practice address
11211 Prosperity Farms Rd
Suite D129 - Oakpark
Palm Beach Gardens, FL 33410-3446
Phone
(561) 775-9288
Fax
(561) 624-4460
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stuart Malcolm Graham Jr., MDNPI 1336109461
Title
Manager
Phone
(561) 775-9288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X ME37835 FL Primary

Addresses

Primary practice location

11211 Prosperity Farms Rd
Suite D129 - Oakpark
Palm Beach Gardens, FL 33410-3446

Mailing address

257 S Beach Rd
Hobe Sound, FL 33455-2512
Phone (772) 546-0101

National Provider Directory

National Provider Directory

Locations

11211 Prosperity Farms Rd
Ste D129
Palm Beach Gardens, FL 33410
Phone (561) 775-9288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528135266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 S BEACH RD",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334552512",
            "telephone_number": "772-546-0101",
            "fax_number": "561-624-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "SUITE D129 - OAKPARK",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-775-9288",
            "fax_number": "561-624-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART M. GRAHAM JR MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "MALCOLM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-775-9288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME37835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.