Individual provider Active NPI

Danielle Luea Graham, D.O.

  • Emergency Medicine Physician
  • Saginaw, MI
National Provider Identifier
1831350776
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101017686 Issued in MI
Practice address
4677 Towne Centre Rd
Suite 302
Saginaw, MI 48604-2846
Phone
(989) 793-7220
NPI assigned
Jun 23, 2008
Last updated
Oct 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101017686 MI Primary

Addresses

Primary practice location

4677 Towne Centre Rd
Suite 302
Saginaw, MI 48604-2846

Mailing address

5705 Bloomfield Dr
Midland, MI 48642-3191
Phone (248) 249-7355

Other names 1

  • Dr. Danielle Faye Luea Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20121023000303 MI Practitioner - Emergency Medicine 6406006717 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017686MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Gladwin Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center Midland Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Midland Emergency Medicine CurrentSince Feb 28, 2017 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 28, 2017 Accepting new patients
Mymichigan Medical Center Gladwin Current Accepting new patients
Mymichigan Medical Center Clare Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients

Locations

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

703 N McEwan St
Ste A
Clare, MI 48617

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4599 Towne Centre Rd
Rm Phys
Saginaw, MI 48604
Phone (989) 497-3214

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

800 S Washington Ave
Ph
Saginaw, MI 48601
Phone (989) 793-7220

800 S Washington Ave
Rm Physician
Saginaw, MI 48601
Phone (989) 793-7220

Interoperability endpoints

  • Direct secure messaging: dgraham7193@mymichiganhealth.midirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1831350776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 BLOOMFIELD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423191",
            "telephone_number": "248-249-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD",
            "address_2": "SUITE 302",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-793-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DANIELLE",
        "middle_name": "LUEA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101017686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "LUEA",
            "middle_name": "FAYE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.