Timothy S Graham, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

MD029761E Issued in PA

Practice address

3120 Wilmington Rd
New Castle, PA 16105

Phone

(724) 658-5311

Fax

(724) 658-6155

NPI assigned

May 3, 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 Medicine

State licenses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1831157460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16105",
            "telephone_number": "724-658-5311",
            "fax_number": "724-658-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16105",
            "telephone_number": "724-658-5311",
            "fax_number": "724-658-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD029761E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009008530001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerard Christopher Golub
• Andrew Jordan Gonzales
• Goodwill Pharmacy Inc
• Grace Woods Personal Care Center Opco LLC
• Melissa Graham, BSN RN
• Shawna Granato, LSW
• Barbara Ann Graziani, RPH
• Ronald Lew Grego, DMD
• Gregory Family Medicine
• James Gordon Gregory, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in New Castle, PA
• Providers in New Castle, PA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.