MICKEY GRAPHIA M.D. NPI 1588105811

NPI Information

NPI: 1588105811
Provider Name: MICKEY GRAPHIA, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
8888 SUMMA AVE
BATON ROUGE, LA
ZIP 70809
Phone: (225) 769-4493
Get Directions

Mickey Graphia, M.D. is a vascular surgery surgery in Baton Rouge, LA with 7 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Mickey Graphia, M.D. NPI is 1588105811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2017

The provider's business location address is:

8888 SUMMA AVE
BATON ROUGE, LA
ZIP 70809-772
Phone: (225) 769-4493

The NPI 1588105811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 12/6/2023.

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	2086S0129X	Surgery	Vascular Surgery	125.072356	ILLINOIS	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	2086S0129X	Surgery	Vascular Surgery	338178	LOUISIANA	Yes

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

NPI Synchronization or Removal

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