Emily Katherine Graham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

259 Monroe Ave
Rochester, NY 14607-3632

Phone

(585) 489-9383

NPI assigned

Oct 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: egraham194921@direct.urmc.rochester.edu

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.

• Trillium Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1861496358

  Single Specialty

  Medicare reassignment NPD (past)
• Trillium Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1265098941
  NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1558838938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8288 BLACK STREET ROAD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "14482",
            "telephone_number": "585-489-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-489-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryanna Graham, LMSW
• Carol Graham
• Courtney Graham
• Ebonesha M Graham, LMSW
• Eileen Graham
• Jordana Graham, LMSW
• Laquanda Graham
• Maureen Graham
• Raymond Graham
• Robin R Graham

• Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.