Organization Active NPI

Anthony W. Graham, M.D., P.L.L.C..

  • Family Medicine Physician
  • Saint Albans, WV
National Provider Identifier
1629299342
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09628 Issued in WV
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

Updated by the provider on Feb 8, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.