GRAHAM PLASTIC SURGERY PLLC
NPI 1689021123
Plastic Surgery in Victor, NY

NPI Status: Active since May 14, 2016

Contact Information

6536 ANTHONY DR
SUITE C
VICTOR, NY
ZIP 14564
Phone: (585) 300-4575

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  • Organization
  • Plastic Surgery
  • CLIA Number: 33D2226127
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-25-2027

About GRAHAM PLASTIC SURGERY PLLC

This page provides the complete NPI Profile along with additional information for Graham Plastic Surgery Pllc, a provider established in Victor, New York operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1689021123 assigned on May 2016. The practitioner's primary taxonomy code is 208200000X with license number 269255 (NY). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. David Graham Md (Physician/owner)

NPI
1689021123
Provider Name
GRAHAM PLASTIC SURGERY PLLC
Entity Type
Organization
Location Address
6536 ANTHONY DR SUITE C VICTOR, NY 14564
Location Phone
(585) 300-4575
Mailing Address
6536 ANTHONY DR SUITE C VICTOR, NY 14564
Mailing Phone
(585) 300-4575
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2016
Last Update Date
09-08-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
269255
License State
NY
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID GRAHAM MD

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(407) 453-1036

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2226127
Facility Type
Physician Office
Certificate Effective Date
May 26, 2025
Certificate Expiration Date
May 25, 2027
Laboratory Director
DR. DAVID A. GRAHAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Graham Plastic Surgery Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689021123
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2616902214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 0 + 2 + 2 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1689021123 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689021123, enumerated in the NPI registry as an "organization" on May 14, 2016

The provider is located at 6536 Anthony Dr Suite C Victor, Ny 14564 and the phone number is (585) 300-4575

This medical organization specializes in Plastic Surgery with taxonomy code 208200000X

The provider's CLIA number is 33D2226127 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 14, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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