Active NPI
Stephen B Graham, DO
- Obstetrics & Gynecology Physician
- Staunton, VA
National Provider Identifier
1255354403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0102204996
- Practice address
- 40 Lambert St Ste 222
Staunton, VA 24401-2446 - Phone
- (833) 356-4080
- Fax
- (607) 547-6303
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0102204996 | VA | Primary |
Addresses
Primary practice location
40 Lambert St Ste 222
Staunton, VA 24401-2446
Mailing address
PO Box 291943
Nashville, TN 37229-1943
Phone (833) 952-0829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007727440008 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Huntingdon, P.C. | Past | Accepting new patients | |
| J C Blair Medical Services Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Huntingdon, PA
- NPI 1861575938
Obstetrics & Gynecology
-
- Surgery Physician
- Huntingdon, PA
- NPI 1326112566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1255354403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 291943",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372291943",
"telephone_number": "833-952-0829",
"fax_number": "615-237-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LAMBERT ST STE 222",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012446",
"telephone_number": "833-356-4080",
"fax_number": "607-547-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "STEPHEN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0102204996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007727440008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.