Mass Effect Medical Group PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N2620 Issued in TX

Legal business name

MASS EFFECT MEDICAL GROUP PLLC

Practice address

401 Ame Dr
Apt 1103
Denton, TX 76207

Phone

(214) 260-7745

Fax

(877) 442-9313

NPI assigned

Apr 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sherif M Latif, MDNPI 1518167188

Title

Owner

Phone

(520) 250-7440

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherif Medhat Latif, MD

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1518167188
  Medicare reassignment NPD Authorized official
• Ashley Rena Christopher, FNP

  • Family Nurse Practitioner
  • Denton, TX
  • NPI 1649512591
  Medicare reassignment NPD
• Regina K Dimbo, MD

  • Internal Medicine Physician
  • Flower Mound, TX
  • NPI 1538329230
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1144511353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 QUINCY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302121",
            "telephone_number": "940-202-0789",
            "fax_number": "940-241-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 AME DR",
            "address_2": "APT 1103",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76207",
            "telephone_number": "214-260-7745",
            "fax_number": "877-442-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS EFFECT MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-250-7440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI",
            "identifier": "1144511353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Stuart Martz, PAC
• Mary Eberhart, WHNP-BC, P.L.L.C.
• Mary Winborn PA-C, PC
• Filippo Masciarelli, M.D.
• Andrea Mason
• Connie Renee Massengill, PT
• Tim Massengill, PT
• Thomas A Matheson, DPM
• Abel Bino Mathew
• Rincy P Mathew

• Internal Medicine Physician in Denton, TX
• Providers in Denton, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.