Active NPI
Judith Elaine Graham, M.D.
- Obstetrics Physician
- Dumas, TX
National Provider Identifier
1326152141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- L3889
- Practice address
- 212 S Bliss Ave
Dumas, TX 79029-3806 - Phone
- (806) 934-4979
- Fax
- (806) 934-4984
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 Physician | 207VX0000X | L3889 | TX | Primary |
Addresses
Primary practice location
212 S Bliss Ave
Dumas, TX 79029-3806
Mailing address
PO Box 394
Dumas, TX 79029-0394
Phone (806) 934-4975
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055996 | Other | TX | FIRSTCARE |
| TXB158040 | Other | TX | MEDICARE |
| 8G5570 | Other | TX | BCBS |
| 154264903 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3889 | TX | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SPMG Signature Pampa Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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
- Pampa, TX
- NPI 1770716896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1326152141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 394",
"city": "DUMAS",
"state": "TX",
"postal_code": "790290394",
"telephone_number": "806-934-4975",
"fax_number": "806-934-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S BLISS AVE",
"city": "DUMAS",
"state": "TX",
"postal_code": "790293806",
"telephone_number": "806-934-4979",
"fax_number": "806-934-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "JUDITH",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "L3889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "055996",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB158040",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8G5570",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154264903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dumas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.