Organization Active NPI

Marelyn Medina MD & Associates PA

  • Urology Physician
  • McAllen, TX
National Provider Identifier
1265604987
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MARELYN MEDINA MD & ASSOCIATES PA
Practice address
412 E Dove Ave
McAllen, TX 78504-2240
Phone
(956) 686-7243
Fax
(956) 668-7123
NPI assigned
Apr 2, 2008
Last updated
Oct 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Marelyn MedinaNPI 1154314342
Title
MD
Phone
(956) 686-7243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

412 E Dove Ave
McAllen, TX 78504-2240

Mailing address

412 E Dove Ave
McAllen, TX 78504-2240
Phone (956) 686-7243

Other identifiers 1

IdentifierTypeStateIssuer
00940UOtherTXMEDICARE

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, 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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1265604987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042240",
            "telephone_number": "956-686-7243",
            "fax_number": "956-686-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042240",
            "telephone_number": "956-686-7243",
            "fax_number": "956-668-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARELYN MEDINA MD & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARELYN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "956-686-7243"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00940U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.