JACK M GRAHAM


Address: 1600 W College St, Grapevine, TX 76051-2100
Phone: 8174810111

JACK M GRAHAM (NPI# 1205801347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205801347
Entity Type Individual
Full Name JACK M GRAHAM
Credential M.D.
Practice Address 1600 W College St
Grapevine
TX 76051-2100
Mailing Address Po Box 100186
Fort Worth
TX 76185-0186
Practice Telephone 8174810111
Practice Fax Number 8174810112
Mailing Telephone 8177317771
Mailing Fax Number 8177317774
Enumeration Date 2006-02-22
Last Update Date 2013-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology F1600 TX Allopathic & Osteopathic Physicians
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
F1600 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 8H3360 01
TX AETNA 4227216 01
TX 139366218 05
TX AMERIGROUP 10028874 01
TX 139366223 05
TX 139366219 05

Other Providers JACK GRAHAM

NPI Name Taxonomy Address Enumeration
1306406863 Jack Graham Student in an Organized Health Care Education/Training Program 8401 Market Street, Department of Medical Education, Boardman, OH 44512 2019-06-17
1447713920 Jack Gregory Graham Student in an Organized Health Care Education/Training Program 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107-4206 2019-04-10

Office Location

Street Address 1600 W COLLEGE ST
City GRAPEVINE
State TX
Zip Code 76051-2100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275539439 Timothy J Rost Obstetrics & Gynecology 1600 W College St, Ste 340, Grapevine, TX 76051-3577 2005-06-22
1215478326 Cynthia Mace-motta, Do Pa Obstetrics & Gynecology 1600 W College St, Suite 260, Grapevine, TX 76051-3580 2017-03-09
1265984272 Jeanette Lockett Wright Nurse Practitioner 1600 W College St, Suite 640, Grapevine, TX 76051-3580 2016-10-26
1194175851 Kimberly S. Marshall, M.d., P.a. Clinic/Center 1600 W College St, Suite 340, Grapevine, TX 76051-3580 2016-06-14
1134577547 Kimberly Salinas Marshall Md, Pa Obstetrics & Gynecology 1600 W College St, Suite 340, Grapevine, TX 76051-3580 2016-05-25
1073971404 Carla L. Young, M.d., P.a. Physical Medicine & Rehabilitation 1600 W College St, Suite 685, Grapevine, TX 76051-3580 2016-01-30
1598136731 Sofia A Lieser M D Pllc Obstetrics & Gynecology 1600 W College St, Suite 540, Grapevine, TX 76051-3580 2015-10-14
1538590286 Melanie B. Kinchen, M.d., P.a. Orthopaedic Surgery 1600 W College St, Suite 685, Grapevine, TX 76051-3580 2013-12-05
1417383233 Neurology Associates of Metroplex, P.a. Psychiatry & Neurology 1600 W College St, Suite Ll40, Grapevine, TX 76051-3580 2013-09-25
1487094389 Baylor Health Enterprises Lp Pharmacy 1600 W College St, Suite 110, Grapevine, TX 76051-3580 2013-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881227346 Jeffrey Joseph Cervenka Physical Therapist 2421 Ira E Woods Ave #101, Grapevine, TX 76051 2020-02-12
1871137562 Karen Lorince Counselor 2409 N. Support Road, Grapevine, TX 76051 2019-11-05
1548733785 Jessica Thorman Johnson Dietitian, Registered 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 2019-01-10
1164928958 Kristen Diou Counselor 913 S Church St Ste 103, Grapevine, TX 76051 2018-04-02
1356860597 Anissa Singratanakul D.m.d, Pllc Dentist 1231 William D Tate Suite 400, Grapevine, TX 76051 2017-09-19
1033637665 James Abraham Thomas Pharmacy 1601 W. State Hwy 114, Grapevine, TX 76051 2017-09-04
1437606563 D'anna Sims Counselor 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 2016-09-07
1477006369 Melinda Jeanne Mashburn Nurse Practitioner 1600 West College St., Suite 60, Grapevine, TX 76051 2016-07-27
1437506623 Allcare Physicians Group Registered Nurse 1111 S Main St Ste 119, Grapevine, TX 76051 2016-05-18
1790141745 Colwick Counseling Clinic/Center 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 2016-01-06
Find all providers in zip 76051

Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972679322 Perinatal Medicine Associates, LLP Obstetrics & Gynecology 1600 W College St, Suite 210, Grapevine, TX 76051-3580 2006-11-28
1407821366 Gerald Gene Payne Jr. Obstetrics & Gynecology 1600 W College St, Ste 210, Grapevine, TX 76051-3580 2006-02-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851990261 Melissa Ann Cassady Obstetrics & Gynecology 6500 N Mo Pac Expy Ste 1205, Austin, TX 78731-3282 2020-10-19
1619433034 Mariposa Perinatal Services Pllc Obstetrics & Gynecology 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 2019-02-11
1558875898 Texas Perinatology Obstetrics & Gynecology 413 Jackson Hill St, Houston, TX 77007-7409 2017-11-23
1699227298 Perinatology and Genetics Pllc Obstetrics & Gynecology 6701 Heritage Pkwy Ste 145, Rockwall, TX 75087-8724 2016-10-30
1437501988 Nima Goharkhay, Pllc Obstetrics & Gynecology 1016 Point Isabel Ln, Friendswood, TX 77546-7896 2016-07-08
1578939435 Magdalena Sanz Cortes Obstetrics & Gynecology 6651 Main St., Texas Childrens Hospital Pavillion for Women.mfm Divisi, Houston, TX 77030 2015-08-14
1417357211 Robert Patterson Obstetrics & Gynecology 3205 Pickwick Ln, Rollingwood, TX 78746-5516 2014-08-28
1134548399 Mary Micaela Rieger Obstetrics & Gynecology 1313 Red River St Ste A1, Austin, TX 78701-1907 2014-04-15
1922447648 John Byrne Obstetrics & Gynecology 315 N San Saba Ste 930, San Antonio, TX 78207-3154 2013-06-15
1083969299 Caroline Marrs Obstetrics & Gynecology 7777 Forest Ln Ste 565, Dallas, TX 75230 2012-07-13
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Competitor

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City GRAPEVINE
Zip Code 76051

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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