The Medeor Group

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

THE MEDEOR GROUP

Practice address

4519 Ringrose Dr
Missouri City, TX 77459-2918

Phone

(832) 788-7283

Fax

(713) 300-6331

NPI assigned

Jul 21, 2014

Last updated

Jul 21, 2014By 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

David L BartczakNPI 1417931312

Title

President

Phone

(832) 788-7283

Specialties & licenses 2

Addresses

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.

• David Lee Bartczak, OPA-C, LSA

  • Surgical Physician Assistant
  • Missouri City, TX
  • NPI 1417931312

  Surgical Technologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1578970653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 RINGROSE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592918",
            "telephone_number": "832-788-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 RINGROSE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592918",
            "telephone_number": "832-788-7283",
            "fax_number": "713-300-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDEOR GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "BARTCZAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-788-7283"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.