Organization Active NPI

Reed Graham DPM Inc

  • Podiatrist
  • Akron, OH
National Provider Identifier
1871803700
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002836G Issued in OH
Legal business name
REED GRAHAM DPM INC
Practice address
696 Canton Rd Ste 1
Akron, OH 44312-2632
Phone
(330) 535-8202
Fax
(330) 535-3065
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Reed B Graham, DPMNPI 1114915931
Title
Owner
Phone
(330) 535-8202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36002836G OH Primary

Addresses

Primary practice location

696 Canton Rd Ste 1
Akron, OH 44312-2632

Mailing address

696 Canton Rd Ste 1
Akron, OH 44312-2632
Phone (330) 535-8202

Other identifiers 2

IdentifierTypeStateIssuer
SP04401OtherOHMEDICARE PIN
3139259MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101109000350 OH Part B Supplier - Clinic/Group Practice 2466647037 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH
O20200417001888 OH DME Supplier - Physician - Podiatry 2466647037 Practice locations: Akron, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1871803700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 CANTON RD STE 1",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122632",
            "telephone_number": "330-535-8202",
            "fax_number": "330-535-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 CANTON RD STE 1",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122632",
            "telephone_number": "330-535-8202",
            "fax_number": "330-535-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED GRAHAM DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-535-8202",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002836G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SP04401",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.