Active NPI
Maelyn Dishman, PAC
- Medical Physician Assistant
- Houston, TX
National Provider Identifier
1740520436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA07934
- Practice address
- 10425 Huffmeister Rd Ste 210
Houston, TX 77065-3429 - Phone
- (281) 890-0911
- NPI assigned
- Feb 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA07934 | TX | Primary |
Addresses
Primary practice location
10425 Huffmeister Rd Ste 210
Houston, TX 77065-3429
Mailing address
7215 Palisades Heights Dr
Houston, TX 77095-2545
Phone (812) 599-5070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00889N | Other | TX | MEDICARE PTAN |
| 279741Y862 | Other | TX | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA07934 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irvin J. Saron, M.D., PA | Current | Accepting new patients |
Locations
21216 Northwest Fwy
Ste 440
Cypress, TX 77429
Phone (281) 664-2101
10425 Huffmeister Rd
Ste 210
Houston, TX 77065
Phone (281) 890-0911
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Houston, TX
- NPI 1861672149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1740520436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 PALISADES HEIGHTS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770952545",
"telephone_number": "812-599-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10425 HUFFMEISTER RD STE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653429",
"telephone_number": "281-890-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISHMAN",
"first_name": "MAELYN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-18",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA07934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "00889N",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "279741Y862",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Discovery Mental Health LLC
- Discovery Pointe Counseling & Consultation
- Discovery Practice Management, Inc (Center For Discovery, Houston)
- Discovery Procedure Suites, LLC
- Deniz Dishman, CRNA
- Dishmon Counseling & Associates
- Lindsay Disidore, MT-BC
- Lauren Michelle Disler, MOT, OTR
- Dispatch Citizens LLC
- Dispatchhealth Advanced Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.