Organization Active NPI

Medallion Health Group LLC

  • Other Specialist/Technologist
  • Sunnyvale, TX
National Provider Identifier
1487057725
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
MEDALLION HEALTH GROUP LLC
Practice address
2611 N Belt Line Rd
Suite 162
Sunnyvale, TX 75182-9301
Phone
(214) 907-1283
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Ronnie McAda Jr.
Title
Owner
Phone
(214) 907-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

2611 N Belt Line Rd
Suite 162
Sunnyvale, TX 75182-9301

Mailing address

2611 N Belt Line Rd
Suite 162
Sunnyvale, TX 75182-9301
Phone (214) 907-1283

National Provider Directory

National Provider Directory

Locations

2611 N Belt Line Rd
Ste 162
Sunnyvale, TX 75182
Phone (214) 907-1283

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1487057725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N BELT LINE RD",
            "address_2": "SUITE 162",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829301",
            "telephone_number": "214-907-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N BELT LINE RD",
            "address_2": "SUITE 162",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829301",
            "telephone_number": "214-907-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLION HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "MCADA",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-907-1283",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.