Mercy Housecall Physicians Group, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

M9136 Issued in TX

Legal business name

MERCY HOUSECALL PHYSICIANS GROUP, LLC

Practice address

501 Wynnrwood Village
Ste 102a
Dallas, TX 75224

Phone

(214) 942-2377

Fax

(214) 942-2977

NPI assigned

Apr 3, 2013

Last updated

Apr 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ebere Israel Azubuike, MDNPI 1275738874

Title

President and Ceo

Phone

(214) 942-2377

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ebere I Azubuike, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1275738874
  NPD (past) Authorized official

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1326381880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WYNNRWOOD VILLAGE",
            "address_2": "STE102A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-942-2377",
            "fax_number": "214-942-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WYNNRWOOD VILLAGE",
            "address_2": "STE 102A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-942-2377",
            "fax_number": "214-942-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOUSECALL PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "AZUBUIKE",
        "authorized_official_first_name": "EBERE",
        "authorized_official_middle_name": "ISRAEL",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "214-942-2377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "M9136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M9136",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Merchun, M.D.
• David Mercier, M.D.
• Mercy Ambulatory Surgery Center of Dallas
• Mercy Family Clinic
• Mercy Home Health Care Inc
• Mercy Springs Home Health
• Mercygrace Healthcare, Inc. (Grace Healthcare Services)
• Katie Lee Merecka, CRNA
• Meredith McArron Maedgen MPT LLC
• Kelly Jo Merendon, LPC

• Multi-Specialty Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.