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Deactivated NPI 1093301517 Deactivated / Inactive NPI Female Practitioner

Wanda Graham

Driver • Wooster, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wanda Graham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 18, 2020
NPI Deactivation Date January 29, 2026
Total Practice Duration ~6 Years of Practice (2020 – 2026)

Professional Overview & Biography Verified Profile Summary

Wanda Graham was a registered Driver practicing in Wooster, OH. Throughout an active medical career spanning 6 years, Wanda Graham provided care at the practice location at 778 N GEYERS CHAPEL RD until profile deactivation on 2026-01-29.

Practice Location & Contact Primary Location

Practice Address

778 N Geyers Chapel Rd

Wooster, OH 446919507

Telephone 3302629475

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Wooster, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Wooster, OH (1080 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

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Joy Smitley

Home Health Aide

NPI 1710782883

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 29, 2026

Record deactivated on January 29, 2026

NPI Profile Active December 18, 2020

NPI status registered as active in NPPES database

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Updated Practice Location December 18, 2020

Registered at 778 N GEYERS CHAPEL RD, WOOSTER, OH 446919507 (Tel: 3302629475)

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Updated Business Mailing Address December 18, 2020

Registered at 778 N GEYERS CHAPEL RD, WOOSTER, OH 446919507 (Tel: 3302629475)

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Provider Name / Credentials Updated December 18, 2020

Recorded as WANDA GRAHAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2020

Driver

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Initial NPI Registration & Enumeration December 18, 2020

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: 1093301517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2020
Last Update: December 18, 2020
Deactivation Date: January 29, 2026

Mailing Address

778 N Geyers Chapel Rd

Wooster, OH 446919507

Phone: 3302629475

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.