Devon Graham, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0406 Issued in SD

Practice address

2116 Jackson Blvd
Rapid City, SD 57702-4386

Phone

(605) 755-2273

Fax

(605) 755-3902

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

No

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 SD

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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stephen Tamang MD Consulting Services PCGroup PAC ID 0345580965, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: devon.graham.1@18632.direct.athenahealth.com

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.

• Stephen Tamang MD Consulting Services PC

  • Addiction Medicine (Family Medicine) Physician
  • Rapid City, SD
  • NPI 1073089488
  Medicare reassignment Care Compare group
• Stephen Tamang MD Consulting Schangervices PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rapid City, SD
  • NPI 1629788849
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1700821162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024386",
            "telephone_number": "605-755-2273",
            "fax_number": "605-755-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DEVON",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Gourde, OTR
• Graceful Touch DME Supplier
• Gracefultouch
• Laura Gradoville
• Christina J Graham, NP
• Jordan Graham
• Sarah Monich Granelli, LCSW
• Grant Optometry, P.C.
• Barry Gravatt
• Frances Marie Gray, RN

• Physician Assistant in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.