Grafton Dermatology

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

022623 Issued in LA

Legal business name

GRAFTON DERMATOLOGY

Doing business as

Lee H Grafton MD

Practice address

327 Bayou Gardens Blvd
Houma, LA 70364-1434

Phone

(985) 876-5000

Fax

(985) 876-5280

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Ann Bourgeois

Title

Off MGR

Phone

(978) 876-5000

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• LEE H GRAFTON MD Doing business as

Tax ID family

Grafton Dermatology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tamela L Marca Charbonnet MD/Lee H Grafton MD

  • Non-Pharmacy Dispensing Site
  • Houma, LA
  • NPI 1962501726
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique B Blanchard, P.A.

  • Medical Physician Assistant
  • Houma, LA
  • NPI 1649277047
  NPD (past)
• Lee Hoye Grafton, M.D.

  • Dermatology Physician
  • Houma, LA
  • NPI 1700881141
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710063391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BAYOU GARDENS BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BAYOU GARDENS BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641434",
            "telephone_number": "985-876-5000",
            "fax_number": "985-876-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAFTON DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "978-876-5000"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "LA",
            "license": "022623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1932400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1484768",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441953",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1687421",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEE H GRAFTON MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert A Gordon, MD
• Esther M Gorsha, LCSW
• Grace Counseling, LLC
• Grafton Dermatology and Cosmetic Surgery
• Lee Hoye Grafton, M.D.
• Brandy Yvonne Grant
• Daisy Gray
• Dayreion Gray

• Non-Pharmacy Dispensing Site in Houma, LA
• Providers in Houma, LA by specialty
• Non-Pharmacy Dispensing Site in Louisiana

• 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.