Active NPI
Meynard M. Nussbaum DPM PA
- Podiatrist
- Houston, TX
National Provider Identifier
1992988661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0456
- Legal business name
- MEYNARD M. NUSSBAUM DPM PA
- Practice address
- 2500 Fondren Road
Suite 255
Houston, TX 77063-2313 - Phone
- (713) 781-0019
- Fax
- (713) 781-1112
- NPI assigned
- Dec 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meynard Morrie Nussbaum, DPM PA
- Title
- President
- Phone
- (713) 781-0019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0456 | TX | Primary |
Addresses
Primary practice location
2500 Fondren Road
Suite 255
Houston, TX 77063-2313
Mailing address
2500 Fondren Road
Suite 255
Houston, TX 77063-2313
Phone (713) 781-0019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018796501 | Medicaid | TX | |
| 0456 | Other | TX | TX MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
2500 Fondren Rd
Ste 310
Houston, TX 77063
Phone (713) 557-0469
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Houston, TX
- NPI 1518983303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476403200000",
"number": "1992988661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 FONDREN ROAD",
"address_2": "SUITE 255",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770632313",
"telephone_number": "713-781-0019",
"fax_number": "713-781-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 FONDREN ROAD",
"address_2": "SUITE 255",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770632313",
"telephone_number": "713-781-0019",
"fax_number": "713-781-1112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEYNARD M. NUSSBAUM DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2016-10-14",
"status": "A",
"authorized_official_last_name": "NUSSBAUM",
"authorized_official_first_name": "MEYNARD",
"authorized_official_middle_name": "MORRIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-781-0019",
"authorized_official_credential": "DPM PA"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "0456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018796501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICAL LICENSE",
"identifier": "0456",
"state": "TX"
}
],
"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 Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.