Gary C Graham, M.D., Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GARY C GRAHAM, M.D., INC

Practice address

517 W 23Rd St
Merced, CA 95340-3724

Phone

(209) 383-1111

Fax

(209) 383-0104

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gary C Graham, M.D.

Title

M.D.

Phone

(209) 383-1111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1740501196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W 23RD ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403724",
            "telephone_number": "209-383-1111",
            "fax_number": "209-383-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W 23RD ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403724",
            "telephone_number": "209-383-1111",
            "fax_number": "209-383-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY C GRAHAM, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "209-383-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Merced, CA
• Providers in Merced, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.