Active NPI
Jeff W Meincke-Reza M D
- Specialist
- Denison, TX
National Provider Identifier
1003950957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K6887
- Legal business name
- JEFF W MEINCKE-REZA M D
- Practice address
- 1014 Memorial Dr Ste 314
Denison, TX 75020-2084 - Phone
- (903) 416-2663
- Fax
- (903) 416-2664
- NPI assigned
- Feb 16, 2007
- Last updated
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeff W Meincke-Reza, M.D
- Title
- Orthopedic Surgern
- Phone
- (903) 416-2663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K6887 | TX | Primary |
Addresses
Primary practice location
1014 Memorial Dr Ste 314
Denison, TX 75020-2084
Mailing address
1014 Memorial Dr Ste 314
Denison, TX 75020-2084
Phone (903) 416-2663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3101855 | Other | TX | AETNA INSURANCE |
| 0036JT | Other | TX | BLUE CROSS AND BLUE SHIEL |
| P00007908 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
504 Lipscomb St
Fl 3
Bonham, TX 75418
Phone (903) 416-2663
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Cleburne, TX
- NPI 1467458653
-
- Orthopaedic Surgery Physician
- Ripon, WI
- NPI 1629039607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1003950957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 MEMORIAL DR STE 314",
"city": "DENISON",
"state": "TX",
"postal_code": "750202084",
"telephone_number": "903-416-2663",
"fax_number": "903-416-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 MEMORIAL DR STE 314",
"city": "DENISON",
"state": "TX",
"postal_code": "750202084",
"telephone_number": "903-416-2663",
"fax_number": "903-416-2664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFF W MEINCKE-REZA M D",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "MEINCKE-REZA",
"authorized_official_first_name": "JEFF",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "ORTHOPEDIC SURGERN",
"authorized_official_telephone_number": "903-416-2663",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K6887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "3101855",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "0036JT",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00007908",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.