Phoenix Medical Associates

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

G1112 Issued in TX

Legal business name

PHOENIX MEDICAL ASSOCIATES

Practice address

222 Sidney Baker South
Suite 500
Kerrville, TX 78028-5900

Phone

(830) 895-7675

Fax

(830) 896-3082

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Anand W. Mehendale, M.D.

Title

President

Phone

(830) 895-7675

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 5

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

• Mark P Goldman, PH. D.

  • Clinical Neuropsychologist
  • Kerrville, TX
  • NPI 1740399328
  NPD
• Maged M Mina, MD

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1184618472
  NPD (past)
• Thomas M. Nunn, P.A.

  • Physician Assistant
  • Kerrville, TX
  • NPI 1942465786
  NPD (past)
• Terry Lynn Parvin, DO

  • Psychiatry Physician
  • Waco, TX
  • NPI 1316114978
  NPD (past)
• Mary Elizabeth Ryan, PA

  • Medical Physician Assistant
  • Beaumont, TX
  • NPI 1508884362
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1790736239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SIDNEY BAKER SOUTH",
            "address_2": "SUITE 500",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285900",
            "telephone_number": "830-895-7675",
            "fax_number": "830-896-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SIDNEY BAKER SOUTH",
            "address_2": "SUITE 500",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285900",
            "telephone_number": "830-895-7675",
            "fax_number": "830-896-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "MEHENDALE",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-895-7675",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "G1112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080790101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ3940",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00564K",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0093CZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peterson Medical Associates
• Peterson Urgent Care LLC
• Phillip Balfanz, MD PLLC
• Hailey Crowe Phillips, SLP
• Rebecca Phillips, LCSW
• Alexandra Pierce, RN, APRN, NP-C
• Brittany A Pierce, LPC
• Samantha Marie Pierce, CNM, WHNP
• Travis Aaron Pierce, NURSE PRACTITIONER
• Michaela Pierson

• Addiction Medicine (Psychiatry & Neurology) Physician in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.