Graham M Cormack, MD, LLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

MD13938 Issued in HI

Legal business name

GRAHAM M CORMACK, MD, LLC

Practice address

1301 Punchbowl St
Honolulu, HI 96813

Phone

(808) 343-2769

Fax

(866) 594-4786

NPI assigned

Sep 25, 2014

Last updated

Sep 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Graham Michael Cormack, MD

Title

Physician

Phone

(808) 343-2769

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1962804567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26418",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96825",
            "telephone_number": "808-343-2769",
            "fax_number": "866-594-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-343-2769",
            "fax_number": "866-594-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM M CORMACK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "CORMACK",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-343-2769",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "HI",
            "license": "MD13938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelestes Lee Kanoelehua Grace, M.D.
• Danielle Grace
• Jeffrey Grace Jr., LCSW
• Kristen Renae Grady, DENTAL HYGIENIST
• Kathleen Gragasin, RN
• Corinne Leslie Graham-Risch
• Joycelyn Augusta Graham-Stewart
• Douglas E Graham, PA
• Gavin Kalua Graham
• Julie Graham, NP

• Critical Care Medicine (Internal Medicine) Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Critical Care Medicine (Internal Medicine) Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.