Graham Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRAHAM FAMILY MEDICINE INC

Practice address

4501 W Deyoung St
Suite 107B
Marion, IL 62959-6360

Phone

(618) 998-9200

Fax

(618) 998-9700

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eric Graham, MD

Title

Owner/Physician

Phone

(618) 998-9200

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13747/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1831341536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 W DEYOUNG ST",
            "address_2": "SUITE 107B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596360",
            "telephone_number": "618-998-9200",
            "fax_number": "618-998-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 W DEYOUNG ST",
            "address_2": "SUITE 107B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596360",
            "telephone_number": "618-998-9200",
            "fax_number": "618-998-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "618-998-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Marie Goodloe, CMP
• Angela M Goodwin, LCSW
• Marie Jane Gorski, MD
• Mario L Gospodinoff, M.D.
• James Michael Gott
• Eric Sean Graham, MD
• Grady Jack Graham
• Harlie Graham
• Matthew Paul Grammer, RPH
• Cortney M Grassl

• Family Medicine Physician in Marion, IL
• Providers in Marion, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.