Jack L Graham, MD, PC
NPI 1285730952ActiveOrganization· Dermatology· Roswell, NM
Dermatology in Roswell, New Mexico, registered in NPPES in September 2006. The authorized official on file is Jack Lynn Graham, M.D., Owner.
Overview
| NPI | 1285730952 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2006 |
| Last updated in NPPES | Jul 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 74-39 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Roswell
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- 1497851166