Active NPI
Jodi Stengem Markus, M.D.
- MOHS-Micrographic Surgery Physician
- Houston, TX
National Provider Identifier
1184716102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- M0482
- Practice address
- 6560 Fannin St
Ste. 724
Houston, TX 77030-2761 - Phone
- (713) 790-0058
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | M0482 | TX | Primary |
Addresses
Primary practice location
6560 Fannin St
Ste. 724
Houston, TX 77030-2761
Mailing address
4606 Holt St
Bellaire, TX 77401-5809
Phone (713) 660-0533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136324401 | Medicaid | TX |
Other names 1
- Jodi Lynn Stengem
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Past | Accepting new patients |
Interoperability endpoints
- jmarkus@directaddress.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1730132721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1184716102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 HOLT ST",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774015809",
"telephone_number": "713-660-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 FANNIN ST",
"address_2": "STE. 724",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302761",
"telephone_number": "713-790-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKUS",
"first_name": "JODI",
"middle_name": "STENGEM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "TX",
"license": "M0482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136324401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "STENGEM",
"middle_name": "LYNN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.