Ivan N Mefford MD PHD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K0524 Issued in TX

Legal business name

IVAN N MEFFORD MD PHD PA

Practice address

1505 Liberty St
Richmond, TX 77469-3218

Phone

(281) 342-9500

Fax

(281) 342-6667

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Newton Mefford, MDNPI 1184672404

Title

Owner

Phone

(281) 342-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan N Mefford, MD

  • Family Medicine Physician
  • Richmond, TX
  • NPI 1184672404
  Medicare reassignment NPD Authorized official
• Anthony Dale Lundquist, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Richmond, TX
  • NPI 1649903071
  NPD
• Rebekah Ann Van Someren, NP

  • Gerontology Nurse Practitioner
  • Melbourne, FL
  • NPI 1396241253
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1598858391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LIBERTY ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693218",
            "telephone_number": "281-342-9500",
            "fax_number": "281-342-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 LIBERTY ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693218",
            "telephone_number": "281-342-9500",
            "fax_number": "281-342-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN N MEFFORD MD PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "MEFFORD",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-342-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF3269",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jude Isibor, PMHNP-BC
• Racheal Faith Isiguzo
• Anwar Ismail, M.D.
• Bismah Ismail, BCBA, LBA
• Isreal Matike LLC
• Ivory Health Care Agency, Inc
• Marian Chienyenwa Iwuchukwu
• Sherry Iyamu, LPC
• Vanessa Iyamu, OT
• Nnamdi Arthur Iyeh, LPTA

• Family Medicine Physician in Richmond, TX
• Providers in Richmond, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.