M Siddhappan MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N1756 Issued in TX

Legal business name

M SIDDHAPPAN MD PA

Practice address

2210 San Jacinto Blvd
Suite 4
Denton, TX 76205-7527

Phone

(425) 830-7768

NPI assigned

Sep 26, 2016

Organization subpart

Yes

Parent organization

M SIDDHAPPAN MD PAAs reported in NPPES

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

Authorized official

Name

Dr. Murugesan Siddhappan, M.DNPI 1104096437

Title

President

Phone

(425) 830-7768

Specialties & licenses 1

Addresses

Other names 1

• M SIDDHAPPAN MD Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

M Siddhappan MD PA

Locations

Practitioners 1

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

• Murugesan M Siddhappan, MD

  • Family Medicine Physician
  • Denton, TX
  • NPI 1104096437

  Family Medicine, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1891244331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 PRESTON RD",
            "address_2": "STE 244-244",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348548",
            "telephone_number": "425-830-7768",
            "fax_number": "940-387-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 SAN JACINTO BLVD",
            "address_2": "SUITE 4",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057527",
            "telephone_number": "425-830-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SIDDHAPPAN MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M SIDDHAPPAN MD PA",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "SIDDHAPPAN",
        "authorized_official_first_name": "MURUGESAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-830-7768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M SIDDHAPPAN MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine C Lynch, SLP
• Eddy Lynton, PHD, LCDC
• Alexandra Brooke Lyons, DPT
• Michele Lyons
• Shradha Lyttle, D.D.S.
• M&D Specialty Services PA
• M&H Management, Inc.
• Raymond Jason Mac
• Andrea Mack, BCBA, LBA
• Kaitlyn Marie Mack, LVN

• All providers in Denton, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.