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Deactivated NPI 1619972221 Deactivated / Inactive NPI Male Practitioner

Dr. Dennis Graham , DO

Orthopaedic Surgery • Stephenville, TX

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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, Dr. Dennis Graham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 20, 2005
NPI Deactivation Date September 27, 2005
Total Practice Duration ~1 Years of Practice (2005 – 2005)

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Graham, DO was a registered Orthopaedic Surgery practicing in Stephenville, TX. Throughout an active medical career spanning 1 years, Dr. Graham provided care at the practice location at 150 RIVER NORTH BLVD until profile deactivation on 2005-09-27.

Practice Location & Contact Primary Location

Practice Address

150 River North Blvd

Stephenville, TX 764011803

Telephone 2549686051
Fax 2549684204
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Stephenville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.7 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Stephenville, TX (1627 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

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX F6684

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID Texas Provider Identifier
141204101 (TX)
Commercial Insurance / Payer ID Bcbs Provider Number
8978M0 (TX)
Commercial Insurance / Payer ID First Care Provider Numbe
113891100 (TN)
Commercial Insurance / Payer ID Railroad Medicare
200040612 (TX)
Commercial Insurance / Payer ID United Healthcare Prov No
206304301 (TX)
Commercial Insurance / Payer ID Cigna Provider Number
6300665002 (TX)
Commercial Insurance / Payer ID Aetna Provider Number
7182209 (TX)

Practice Associates & Co-Workers

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

30 Associated Practitioners
Dr. Jeffrey Moore , MD

Internal Medicine

NPI 1023014008

Doctor of Medicine (M.D.)

Dr. Christy Kerr , MD

Family Medicine

NPI 1023274024

Doctor of Medicine (M.D.)

Dr. Sreenivas Gudimetla , MD

Internal Medicine - Cardiovascular Disease

NPI 1053316547

Doctor of Medicine (M.D.)

Anita Butler , RD, LD

Nutritionist - Nutrition, Education

NPI 1063417038

Registered Dietitian, Licensed Dietitian

Dr. Kenneth Ratajczak , MD

Radiology - Diagnostic Radiology

NPI 1063418929

Doctor of Medicine (M.D.)

Dr. Janie Mcmillion , MD

Obstetrics & Gynecology

NPI 1073519427

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location September 04, 2009

Registered at 150 RIVER NORTH BLVD, STEPHENVILLE, TX 764011803 (Tel: 2549686051)

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Updated Business Mailing Address September 04, 2009

Registered at 150 RIVER NORTH BLVD, STEPHENVILLE, TX 764011803 (Tel: 2549686051)

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Provider Name / Credentials Updated September 04, 2009

Recorded as DENNIS GRAHAM, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2009

Orthopaedic Surgery (License #F6684 in TX)

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NPI Profile Reactivated March 17, 2009

Record officially reactivated for active practice on March 17, 2009

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NPI Profile Deactivated September 27, 2005

Record deactivated on September 27, 2005

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Initial NPI Registration & Enumeration June 20, 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: 1619972221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2005
Last Update: September 04, 2009
Deactivation Date: September 27, 2005
Sole Proprietor: No

Mailing Address

150 River North Blvd

Stephenville, TX 764011803

Phone: 2549686051

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.