Perinatal Medicine Associates, LLP

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

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

Organization subpart

No

Name

Dr. Jack Monroe Graham, MD

Title

MD

Phone

(817) 481-0111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Stanford

  • Genetic Counselor (M.S.)
  • Grapevine, TX
  • NPI 1609074954
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0071JQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156095502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10004902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156095501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Elizabeth Pegues, PHARMACY TECH
• Carmen Loren Pemberton, NP
• Ismail S Penukonda, MD
• Richard Perez, D.D.S.
• Perimeter Outpatient Services, LLC
• Randall C Perkins, DO
• Linda B Perrin, RN, MSN, CPNP
• Delisa Deutsch Perry, MS, LPC-S
• Personic Woundcare PLLC
• Jennifer Lee Peters

• All providers in Grapevine, TX
• Maternal & Fetal Medicine Physician in Texas

• 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.

Verify at the official NPI Registry.