NPIMap

Organization Active NPI

Mederi Services LLC

  • Surgical Technologist
  • Missouri City, TX
National Provider Identifier
1215216908
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
SA00398 Issued in TX
Legal business name
MEDERI SERVICES LLC
Practice address
4519 Ringrose Dr
Missouri City, TX 77459-2918
Phone
(877) 563-3374
Fax
(713) 300-6331
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
David BartczakNPI 1417931312
Title
President
Phone
(877) 563-3374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X SA00398 TX Primary

Addresses

Primary practice location

4519 Ringrose Dr
Missouri City, TX 77459-2918

Mailing address

PO Box 17774
Sugar Land, TX 77496-7774
Phone (877) 563-3374

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1215216908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17774",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774967774",
            "telephone_number": "877-563-3374",
            "fax_number": "713-300-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 RINGROSE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592918",
            "telephone_number": "877-563-3374",
            "fax_number": "713-300-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDERI SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "BARTCZAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-563-3374"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.