Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790778520 Individual Practitioner Male Practitioner

Dr. Stephen J. Graham , MD

General Practice • Gold Canyon, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Graham, MD is a registered healthcare professional specializing in General Practice in Gold Canyon, AZ. Practice services are available at 9983 E DESERT TRAIL LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9983 E Desert Trail Ln

Gold Canyon, AZ 851184922

Telephone 4064251355
Fax 8016184185

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Gold Canyon, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Gold Canyon, AZ (259 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-13
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License UT 184400-1205

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License UT 184400-1205

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License AZ 19987

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

General Practice

NUCC Taxonomy Code: 208D00000X

State License AZ 19987

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
508021 (AZ)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location July 13, 2021

Registered at 9983 E DESERT TRAIL LN, GOLD CANYON, AZ 851184922 (Tel: 4064251355)

📍
Updated Business Mailing Address July 13, 2021

Registered at 9983 E DESERT TRAIL LN, GOLD CANYON, AZ 851184922 (Tel: 0642513554)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2021

Ophthalmology (License #19987 in AZ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2020

Ophthalmology (License #184400-1205 in UT)

📍
Updated Business Mailing Address September 08, 2019

Registered at 177 W COTTONWOOD LN STE 6, CASA GRANDE, AZ 851222552 (Tel: 5202335905)

📍
Updated Practice Location March 20, 2019

Registered at 177 W COTTONWOOD LN STE 6, CASA GRANDE, AZ 851222552 (Tel: 5202335905)

📍
Updated Business Mailing Address March 20, 2019

Registered at PO BOX 2234, FLORENCE, AZ 851323041 (Tel: 5202335905)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Ophthalmology (License #19987 in AZ)

NPI Profile Active October 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2011

Registered at 2345 E THOMAS RD, PHOENIX, AZ 850167848 (Tel: 6029555700)

📍
Updated Business Mailing Address October 28, 2011

Registered at 2345 E THOMAS RD, PHOENIX, AZ 850167848 (Tel: 6029555700)

👤
Provider Name / Credentials Updated October 28, 2011

Recorded as STEPHEN GRAHAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2011

Internal Medicine (License #19987 in AZ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2011

Ophthalmology (License #19987 in AZ)

🟢
Initial NPI Registration & Enumeration August 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790778520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: July 13, 2021
Sole Proprietor: No

Mailing Address

9983 E Desert Trail Ln

Gold Canyon, AZ 851184922

Phone: 0642513554

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.