Active NPI
Meynard Morrie Nussbaum, D.P.M.
- Podiatrist
- Cypress, TX
National Provider Identifier
1215039573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0456
- Practice address
- 9740 Barker Cypress Rd
Ste 108B
Cypress, TX 77433-1974 - Phone
- (832) 781-2690
- Fax
- (832) 409-3169
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0456 | TX | Primary |
Addresses
Primary practice location
9740 Barker Cypress Rd
Ste 108B
Cypress, TX 77433-1974
Mailing address
9740 Barker Cypress Rd
Ste 108B
Cypress, TX 77433-1974
Phone (832) 781-2690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0456 | Other | TX | STATE LICENSE NUMBER |
| 018796501 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulse Healthcare System LLC | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Tomball, TX
- NPI 1609753763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1215039573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9740 BARKER CYPRESS RD",
"address_2": "STE 108B",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774331974",
"telephone_number": "832-781-2690",
"fax_number": "832-409-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9740 BARKER CYPRESS RD",
"address_2": "STE 108B",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774331974",
"telephone_number": "832-781-2690",
"fax_number": "832-409-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSSBAUM",
"first_name": "MEYNARD",
"middle_name": "MORRIE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "0456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "0456",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018796501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.