Organization Active NPI

Jeff W Meincke-Reza M D

  • Specialist
  • Denison, TX
National Provider Identifier
1003950957
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K6887 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3101855OtherTXAETNA INSURANCE
0036JTOtherTXBLUE CROSS AND BLUE SHIEL
P00007908OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.