GRAHAM EAR NOSE & THROAT P.C. NPI 1063647154

NPI Information

NPI: 1063647154
Provider Name: GRAHAM EAR, NOSE & THROAT P.C.
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
625 N FOSTER ST STE 203
MITCHELL, SD
ZIP 57301
Phone: (605) 996-8386
Get Directions

GRAHAM EAR, NOSE & THROAT P.C. is a facial plastic surgery otolaryngology in Mitchell, SD. The provider is an otolaryngologist who specializes in facial plastic surgery. GRAHAM EAR, NOSE & THROAT P.C. NPI is 1063647154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 N FOSTER ST STE 203
MITCHELL, SD
ZIP 57301-969
Phone: (605) 996-8386
Fax: (605) 996-9153

The provider's authorized official is William Noble Graham .
The authorized official title is Owner and has the following contact phone number (605) 996-8386.

The enumeration date for this NPI number is 5/19/2009 and was last updated on 5/19/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	4248	SOUTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2070	OTHER	SOUTH DAKOTA	AVERA HEALTH
2	S5047	MEDICARE PIN	SOUTH DAKOTA
3	0005047	OTHER	SOUTH DAKOTA	BLUE CROSS BLUE SHILED
4	20223	OTHER	SOUTH DAKOTA	SANFORD HEALTH
5	G48495	MEDICARE UPIN	SOUTH DAKOTA
6	6520252	MEDICAID	SOUTH DAKOTA

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

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