Ronald E. Graham, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DO-197 Issued in AL

Practice address

200 Medical Center Dr
Fort Payne, AL 35968

Phone

(256) 845-3150

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Albert Rains Emergency Physicians

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1043466998
  NPD (past)
• North Alabama Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1255378246
  NPD (past)
• Southern Medical Group, Inc

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1194736009
  NPD (past)
• Willstown Emergency Physicians

  • Emergency Medicine Physician
  • Fort Payne, AL
  • NPI 1003081753
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770526808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-845-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "RONALD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO-197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932308",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gorman'S Medical Services, LLC
• Morgan Lacey Goss, D.O.
• Madge Dunmyer Gower, MS CCC SLP
• Rosemary Gowett, LPC
• Graceful Gynecology, Inc.
• Ashley Mechay Rush Gray, DMD
• James Nathan Gray, DMD
• Jeremiah Griffin, CRNA
• Stephanie K Griffin, C.R.N.P.
• Rhonda Grimes, CRNP

• Emergency Medicine Physician in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.