David E Graham, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0416123 Issued in KS

Practice address

20375 West 151St
Suite #105
Olathe, KS 66061

Phone

(913) 782-8487

Fax

(913) 782-4634

NPI assigned

May 17, 2006

Last updated

Sep 7, 2011By the provider in NPPES

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Purehealth Clinics PA, LLC

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1437488699
  Medicare reassignment

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1780637314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20375 WEST 151ST",
            "address_2": "SUITE #105",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-782-8487",
            "fax_number": "913-782-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 WEST 151ST",
            "address_2": "SUITE #105",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-782-8487",
            "fax_number": "913-782-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0416123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100144110D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simlin T Gower, PHARM.D.
• Dylan Michael Gowin, DC
• Gracehealth Senior Homes LLC
• Taylor Graf, COTA
• Charlene Elisa Graham
• Erin Graham, PHARMD
• Maureen Mae Graham, RD, LD
• Ronald G Graham, DO
• Kent L Grassle, D.D.S.
• Molly Owens Graves, LPC

• Family Medicine Physician in Olathe, KS
• Providers in Olathe, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.