Robert Karl Mahaffey, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4495 Issued in TX

Practice address

2507 Lake Rd
A
Huntsville, TX 77340-5756

Phone

(936) 436-9098

Fax

(936) 439-9098

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Huntsville Family Medicine, LLP

  • Primary Care Clinic/Center
  • Huntsville, TX
  • NPI 1871535559
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1871591719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 LAKE RD",
            "address_2": "A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405756",
            "telephone_number": "936-436-9098",
            "fax_number": "936-439-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 LAKE RD",
            "address_2": "A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405756",
            "telephone_number": "936-436-9098",
            "fax_number": "936-439-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "ROBERT",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128760902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn R Louther, R.N.
• Loving Hands Extended Care LLC
• Julie Mabie
• Kelsey Mactough, PTA
• Christopher Paul Madeley, M.A, L.P.C.
• Mahesri MHT LLC
• Murtaza Mahesri, MD
• Julie A Mahlen, MS CCC SLP
• Samantha Kay Mahon-Cortez, MA, LPC, RPT
• Taylor Alexandra Maki

• Family Medicine Physician in Huntsville, TX
• Providers in Huntsville, 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 Nov 28, 2012; 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.