ETHAN GRAHAM MD – NPI #1962036202
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

ETHAN GRAHAM is a physician located in APO, AE. NPPES has assigned the NPI number 1962036202 to ETHAN GRAHAM on February 25, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Aug 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETHAN GRAHAM below.

NPI Profile for
ETHAN GRAHAM

NPI Number
1962036202
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ETHAN GRAHAM
Credentials
MD
Primary location
LANDSTUHL REGIONAL MEDICAL CENTER
UNIT 33100
APO, AE 09180-3100
Phone: (253) 968-0117 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
NE 34041
390200000X
- Student in an Organized Health Care Education/Training Program
208D00000X
- General Practice
NE 34041

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.