Meridian Family Medical Associates PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

735840 Issued in TX

Legal business name

MERIDIAN FAMILY MEDICAL ASSOCIATES PLLC

Practice address

3333 Bayshore Blvd
Suite 250
Pasadena, TX 77504-1961

Phone

(914) 400-4779

Fax

(713) 344-0738

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Stephanie Badu, FNP

Title

Member/FNP

Phone

(914) 400-4779

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1811215460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BAYSHORE BLVD",
            "address_2": "250",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041952",
            "telephone_number": "914-400-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BAYSHORE BLVD",
            "address_2": "SUITE 250",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041961",
            "telephone_number": "914-400-4779",
            "fax_number": "713-344-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN FAMILY MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BADU",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MEMBER/FNP",
        "authorized_official_telephone_number": "914-400-4779",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "735840",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "735840",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "735840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kate Dunnigan Mendez
• Diana Mendoza
• Yaritza Mendoza
• Silmi Merchant
• Tara Merida, LPC
• Yeshimebet Ayalew Meshesha, FNP
• Neeharika Mettupalli, M.BBS
• Metx, LLC
• Benjamin Metz, D.O.
• Amir Shabbir Mian, MD

• Geriatric Medicine (Internal Medicine) Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.