Organization Active NPI

Melanie Mencer, M.D., P.a.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1407045032
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7454 Issued in TX
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

Updated by the provider on Oct 19, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
166891501MedicaidTX

Other names 1

  • Synergy Medical & Wellness Group Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.