Graham Barth Kretchman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9683 Issued in AZ

Practice address

1010 E McDowell
Suite 406
Phoenix, AZ 85006

Phone

(602) 257-1499

Fax

(602) 253-7201

NPI assigned

Sep 14, 2006

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 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Misha Faustina, M.D. PC

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1952570194
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1851496848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 E CAMELBACK RD",
            "address_2": "#7",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512062",
            "telephone_number": "480-424-3850",
            "fax_number": "480-424-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL",
            "address_2": "SUITE 406",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "602-257-1499",
            "fax_number": "602-253-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETCHMAN",
        "first_name": "GRAHAM",
        "middle_name": "BARTH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "9683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215097",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna N Krem
• Erin Kreml, MD
• John J Kresl, MD, PH.D
• Julie R Kresl, PT
• Win Edward Kressel, D.C.
• Erin E Kretovics
• Taylor Kreul
• Richard Kreutz, PA-C
• Erin Lovinna Krich
• Leonard Krich, M.D.

• Ophthalmology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.