Active NPI
Perinatal Medicine Associates, LLP
- Maternal & Fetal Medicine Physician
- Grapevine, TX
National Provider Identifier
1972679322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- Legal business name
- PERINATAL MEDICINE ASSOCIATES, LLP
- Practice address
- 1600 W College St
Suite 210
Grapevine, TX 76051-3580 - Phone
- (817) 481-0111
- Fax
- (817) 481-0112
- NPI assigned
- Nov 28, 2006
- Last updated
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack Monroe Graham, MD
- Title
- MD
- Phone
- (817) 481-0111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | Primary |
Addresses
Primary practice location
1600 W College St
Suite 210
Grapevine, TX 76051-3580
Mailing address
PO Box 100186
Fort Worth, TX 76185-0186
Phone (817) 731-7771
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Maternal & Fetal Medicine Physician
- Fort Worth, TX
- NPI 1205801347
-
- Genetic Counselor (M.S.)
- Grapevine, TX
- NPI 1609074954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1972679322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100186",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761850186",
"telephone_number": "817-731-7771",
"fax_number": "817-731-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W COLLEGE ST",
"address_2": "SUITE 210",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513580",
"telephone_number": "817-481-0111",
"fax_number": "817-481-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERINATAL MEDICINE ASSOCIATES, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "MONROE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "817-481-0111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.