Donald Gene Graham, RT(R)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

341390 Issued in MI

Practice address

2751 Woodlake Rd SW Apt 2
Wyoming, MI 49519-4653

Phone

(616) 667-7138

NPI assigned

Sep 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Donald Gene Graham Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1831440593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 WOODLAKE RD SW APT 2",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194653",
            "telephone_number": "616-667-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 WOODLAKE RD SW APT 2",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194653",
            "telephone_number": "616-667-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DONALD",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "RT(R)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MI",
            "license": "341390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "GRAHAM",
            "middle_name": "GENE",
            "credential": "RT(R)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pamela Goudzwaard, OTR, CHT
• Brandon Govan, MD
• Nancy Ann Grabill, LLPC
• Grace Communities
• Monika B Graef, MA
• Kerry Graham
• Kristy Graham
• Grand Rapids Medical Center Inc
• Grand Rapids Surgical Associates, PLLC
• Grand River Surgery, PLLC

• Radiologic Technologist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Radiologic Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.