Active NPI
Reed Graham DPM Inc
- Podiatrist
- Akron, OH
National Provider Identifier
1871803700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36002836G
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reed B Graham, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP04401 | Other | OH | MEDICARE PIN |
| 3139259 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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.