Carl R Menckhoff, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

K3339 Issued in TX

Practice address

4600 FM 2181
Suite 50
Hickory Creek, TX 75065-7670

Phone

(940) 270-8910

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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.

• First Texas Hospital Carrollton LLC

  • General Acute Care Hospital
  • Carrollton, TX
  • NPI 1336533595
  NPD (past)
• Pipeline East Dallas LLC

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1801625934
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1972612935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 LAKE VISTA DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673801",
            "telephone_number": "972-899-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 FM 2181",
            "address_2": "SUITE 50",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750657670",
            "telephone_number": "940-270-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCKHOFF",
        "first_name": "CARL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "049315",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K3339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000880547A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CA551",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043983802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G49315",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Cities Elite Performance Therapy
• Landon D Bell PLLC
• Cheryl Lane, OTR
• Jack A Maxwell, DO
• McLaughlin Surgical Sales LLC
• Samantha Myers, PA-C
• Chau Thoai Ong, PHARMD
• Orchid Counseling PLLC
• Jigesha Jaldip Patel
• Thuan N Pham, D.D.S

• All providers in Hickory Creek, TX
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.