Active NPI
Melanie Mencer, M.D., P.a.
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1407045032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K7454
- Legal business name
- MELANIE MENCER, M.D., P.A.
- Practice address
- 1213 Hermann Dr
Suite 430
Houston, TX 77004-7018 - Phone
- (713) 522-1221
- Fax
- (713) 522-1210
- NPI assigned
- Oct 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melanie Mencer Parks, M.D.
- Title
- President
- Phone
- (713) 522-1221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K7454 | TX | Primary |
Addresses
Primary practice location
1213 Hermann Dr
Suite 430
Houston, TX 77004-7018
Mailing address
1213 Hermann Dr
Suite 430
Houston, TX 77004-7018
Phone (713) 522-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166891501 | Medicaid | TX |
Other names 1
- Synergy Medical & Wellness Group
National Provider Directory
National Provider DirectoryLocations
1213 Hermann Dr
Ste 430
Houston, TX 77004
Phone (713) 522-1221
1200 Binz St
Ste 500
Houston, TX 77004
Phone (713) 520-9800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1366527798
-
- General Practice Physician
- Houston, TX
- NPI 1699901645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192752000000",
"number": "1407045032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 HERMANN DR",
"address_2": "SUITE 430",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047018",
"telephone_number": "713-522-1221",
"fax_number": "713-522-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 HERMANN DR",
"address_2": "SUITE 430",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047018",
"telephone_number": "713-522-1221",
"fax_number": "713-522-1210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELANIE MENCER, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-19",
"last_updated": "2007-10-19",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "MENCER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-522-1221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K7454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166891501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Medical & Wellness Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.