WALTER M. GRAHAM M.D. – NPI #1821031758
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

WALTER GRAHAM is a physician located in BURLEY, ID. NPPES has assigned the NPI number 1821031758 to WALTER GRAHAM on June 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Feb 26, 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 WALTER GRAHAM below.

NPI Profile for
WALTER M. GRAHAM

NPI Number
1821031758
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WALTER M. GRAHAM
Credentials
M.D.
Primary location
32 S 150 E
BURLEY, ID 83318-5450
Phone: (208) 677-3034 Fax: (208) 677-2483
Mailing address
1501 HILAND AVE
STE. L2
BURLEY, ID 83318-2682
Phone: (208) 677-3034 Fax: (208) 677-2483
Sole Proprietor
Yes
Updated
Certification Date
Feb 26, 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.

Identifiers

Identifiers for WALTER GRAHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSSID5964-2
otherREGENCE BLUESHIELDID000010002084
medicaidIDP318303
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
207Q00000X
- Family Medicine (Primary)		 ID M5964

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.

Additional Information

Education
BAYLOR COLLEGE OF MEDICINE - Graduated 1990
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
WALTER GRAHAM is affiliated with the following medical group(s):
  • HOSPITAL
    • CASSIA REGIONAL HOSPITAL
      1501 HILAND AVENUE
      BURLEY, ID 83318
    • MINIDOKA MEMORIAL HOSPITAL
      1224 8TH STREET
      RUPERT, ID 83350
    • ST LUKES MAGIC VALLEY MEDICAL CENTER
      801 POLE LINE ROAD WEST
      TWIN FALLS, ID 83301
  • HOME HEALTH AGENCY
    • HORIZON HOME HEALTH EAST
      1411 FALLS AVE E SUITE 615
      TWIN FALLS, ID 83301
    • INTERMOUNTAIN HOME CARE OF CASSIA
      1501 HILAND AVENUE. SUITE Z
      BURLEY, ID 83318

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
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