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CAROL ANN GRAHAM M.D. NPI 1669476370


NPI Information

NPI: 1669476370
Provider Name: CAROL ANN GRAHAM, M.D.
Classification: Urology - 2088F0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Address:
226 S WOODS MILL RD
STE 55W
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 205-6402
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Carol Ann Graham, M.D. is a female pelvic medicine and reconstructive surgery urology in Chesterfield, MO. The provider is a urologist subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Carol Ann Graham, M.D. NPI is 1669476370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

226 S WOODS MILL RD
STE 55W
CHESTERFIELD, MO
ZIP 63017-662
Phone: (314) 205-6402
Fax: (314) 590-5951

The enumeration date for this NPI number is 6/9/2005 and was last updated on 3/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology36345KENTUCKYNo
2208800000XUrology36345KENTUCKYNo
3207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery36346KENTUCKYNo
42088F0040XUrologyFemale Pelvic Medicine and Reconstructive Surgery2014036783MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P400026213MEDICARE PINKENTUCKY
2F68959MEDICARE UPINKENTUCKY
3000000798069OTHERKENTUCKYANTHEM - WOMEN'S SPECIALISTS
450044196OTHERKENTUCKYPASSPORT - WS
50906701MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
6142082OTHERKENTUCKYSIHO - WS
7K066020MEDICARE PINKENTUCKY
8200308410MEDICAIDINDIANA
964031370MEDICAIDKENTUCKY
10000000667083OTHERKENTUCKYANTHEM
11MA5406001MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.