Active NPI
Graham Barth Kretchman, MD
- Ophthalmology Physician
- Phoenix, AZ
National Provider Identifier
1851496848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 9683
- Practice address
- 1010 E McDowell
Suite 406
Phoenix, AZ 85006 - Phone
- (602) 257-1499
- Fax
- (602) 253-7201
- NPI assigned
- Sep 14, 2006
- Last updated
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 9683 | AZ | Primary |
Addresses
Primary practice location
1010 E McDowell
Suite 406
Phoenix, AZ 85006
Mailing address
6711 E Camelback Rd
#7
Scottsdale, AZ 85251-2062
Phone (480) 424-3850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9683 | AZ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Misha Faustina, M.D. PC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
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": "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": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- 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.