Organization Active NPI

Mark H. Edelman M.D., P.a.

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1932402617
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
H6186 Issued in TX
Legal business name
MARK H. EDELMAN M.D., P.A.
Practice address
9055 Katy Fwy Ste 304
Houston, TX 77024-1630
Phone
(713) 365-9990
Fax
(713) 365-9993
NPI assigned
Dec 17, 2010
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Dr. Mark H Edelman, M.D.NPI 1669483483
Title
President
Phone
(713) 365-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X H6186 TX Primary

Addresses

Primary practice location

9055 Katy Fwy Ste 304
Houston, TX 77024-1630

Mailing address

9055 Katy Fwy Ste 304
Houston, TX 77024-1630
Phone (713) 365-9990

National Provider Directory

National Provider Directory

Locations

9055 Katy Fwy
Ste 304
Houston, TX 77024
Phone (713) 365-9990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1932402617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY STE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241630",
            "telephone_number": "713-365-9990",
            "fax_number": "713-365-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY STE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241630",
            "telephone_number": "713-365-9990",
            "fax_number": "713-365-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H. EDELMAN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-365-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "H6186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.