E Joan Graham, D.O.

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

OS003555L Issued in PA

Practice address

384 W Broadway St
Plymouth, PA 18651-2508

Phone

(570) 852-9078

NPI assigned

Feb 15, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1801136627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 W BROADWAY ST",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186512508",
            "telephone_number": "570-852-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 W BROADWAY ST",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186512508",
            "telephone_number": "570-852-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "E",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PA",
            "license": "OS003555L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Robert Coar, MD
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• John George Evans, DDS
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• First Steps Safety LLC
• Connie D Habersham-Johnson, LPN
• Andrew Joseph Krashnak III, DC DACRB CCN DACBN
• Frederick Francis Kuscavage Jr., ATC
• Shelly Ann Levulis, D.P.M.
• Lifesavers CRNP LLC

• Nuclear Medicine Physician in Plymouth, PA
• Providers in Plymouth, PA by specialty
• Nuclear Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.