W.Graham Driscoll, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

14982 Issued in AZ

Practice address

2320 S 22ND Dr
Yuma, AZ 85364-8867

Phone

(928) 783-4476

Fax

(928) 782-6722

NPI assigned

Jan 13, 2006

Last updated

Nov 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilbur Graham Driscoll Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Yuma Ear, Nose and Throat, LTD

  • Specialist
  • Yuma, AZ
  • NPI 1548483571
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1932188265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 S 22ND DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648867",
            "telephone_number": "928-783-4476",
            "fax_number": "928-782-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 S 22ND DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648867",
            "telephone_number": "928-783-4476",
            "fax_number": "928-782-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "W.GRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "14982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171075",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILBUR",
            "last_name": "DRISCOLL",
            "middle_name": "GRAHAM",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samuel Dos Reis Freire, M.D.
• Gail Downs, DDS
• Loujan M Downs, LIAC
• Rebecca Ellen Downs, SLP
• Doyen PLLC
• Stuart James Duersch, PT, DPT
• Alora Dugan, RBT
• Jessica Duggan, DPM
• Nicole Elise Dukes
• April D. Duncan, SFIDC

• Otolaryngology Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Otolaryngology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.