Active NPI
Anthony W. Graham, M.D., P.L.L.C..
- Family Medicine Physician
- Saint Albans, WV
National Provider Identifier
1629299342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 09628
- Legal business name
- ANTHONY W. GRAHAM, M.D., P.L.L.C..
- Practice address
- 509 4TH Ave
Saint Albans, WV 25177-2824 - Phone
- (304) 727-6270
- Fax
- (304) 727-6271
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony W. Graham, M.D.
- Title
- Physician
- Phone
- (304) 727-6270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 09628 | WV | Primary |
Addresses
Primary practice location
509 4TH Ave
Saint Albans, WV 25177-2824
Mailing address
509 4TH Ave
Saint Albans, WV 25177-2824
Phone (304) 727-6270
Other names 1
- Family Practice
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202428800000",
"number": "1629299342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 4TH AVE",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251772824",
"telephone_number": "304-727-6270",
"fax_number": "304-727-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 4TH AVE",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251772824",
"telephone_number": "304-727-6270",
"fax_number": "304-727-6271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY W. GRAHAM, M.D., P.L.L.C..",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2008-02-08",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "304-727-6270",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WV",
"license": "09628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Practice",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Albans, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.