Medical Doctor Assoc, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

D1041 Issued in TX

Legal business name

MEDICAL DOCTOR ASSOC, INC.

Practice address

1764 Farm Road 899
Mt Pleasant, TX 75455-9159

Phone

(903) 572-4817

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joni Scribner

Title

Staffing Consultant

Phone

(800) 809-0436

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346323979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1936",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754561936",
            "telephone_number": "903-572-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 FARM ROAD 899",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754559159",
            "telephone_number": "903-572-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DOCTOR ASSOC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCRIBNER",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "STAFFING CONSULTANT",
        "authorized_official_telephone_number": "800-809-0436",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "D1041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000J1331",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Ruth McIntyre
• J. Morris McKellar, M.D.
• Shonda Renee McNeil, PTA
• Med Southwest, PLLC
• Medical & Surgical Dermatology Center of Northeast Texas, P.a.
• Medical Plaza Cardiology
• Oghenetega Mirella Meir, PMHNP-BC
• Paul O Meriwether, M.D.
• Minadeo Eye Center PLLC
• Michael Anthony Minadeo, MD

• General Acute Care Hospital in Mt Pleasant, TX
• Providers in Mt Pleasant, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.