MARC MELINCOFF (NPI# 1760419170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760419170 |
| Entity Type | Individual |
| Full Name | MARC MELINCOFF |
| Credential | D.O. |
| Practice Address |
4500 Washington Ave Suite 300 Houston TX 77007-5476 |
| Mailing Address |
909 Frostwood Dr Suite 1.100 Houston TX 77024-2301 |
| Practice Telephone | 7138616490 |
| Practice Fax Number | 8326585415 |
| Mailing Telephone | 7133385519 |
| Mailing Fax Number | 7137043086 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
P1671 | TX | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
25MB07630200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0038784 | 05 |
| Street Address |
4500 WASHINGTON AVE SUITE 300 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77007-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560769 | Steve Alan Watts | Family Medicine | 4500 Washington Ave, Suite 300, Houston, TX 77007-5476 | 2005-07-01 |
| 1194083998 | Design Dental Group | Clinic/Center | 4500 Washington Ave, Suite 700, Houston, TX 77007-5476 | 2012-04-30 |
| 1447488580 | Ladan Pourmasiha | Family Medicine | 4500 Washington Ave, Suite 300, Houston, TX 77007-5476 | 2009-06-27 |
| 1386842771 | Candice Winful | Family Medicine | 4500 Washington Ave, Suite 300, Houston, TX 77007-5476 | 2007-07-06 |
| 1174531560 | Ha Thi-bich Nguyen | Internal Medicine | 4500 Washington Ave, Suite 300, Houston, TX 77007-5476 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679197248 | Courtney Dee Dowdy | Counselor | 1111 Durham Drive, Apt 408, Houston, TX 77007 | 2020-05-29 |
| 1043867567 | Susan Kamfar | Counselor | 5252 Katy Freeway Suite 103, Houston, TX 77007 | 2019-08-20 |
| 1669035333 | H-e-b, Lp | Clinical Medical Laboratory | 3663 Washington Ave Suite 100, Houston, TX 77007 | 2019-04-18 |
| 1720561004 | City of Houston | Optometrist | 170 Heights Blvd, Houston, TX 77007 | 2018-09-12 |
| 1598245805 | Cuevas Diagnostic LLC | Pain Medicine | 4710 Katy Freeway, Houston, TX 77007 | 2018-08-16 |
| 1346738861 | Kirsti Reese | Counselor | 5151 Katy Fwy Ste 314, Houston, TX 77007 | 2018-04-30 |
| 1265981260 | Sara Shideler | Social Worker | 1502 Sawyer St Ste 139, Houston, TX 77007 | 2016-10-02 |
| 1639626955 | Kevin Lin | Dentist | 5743 Kiam St Unit E, Houston, TX 77007 | 2016-09-02 |
| 1093261893 | Julianne Piazza | Chiropractor | 4802 Washington Ave., Houston, TX 77007 | 2016-08-31 |
| 1174079495 | Janna Nickles | Licensed Vocational Nurse | 1213 Durham Drive, Houston, TX 77007 | 2016-08-28 |
| Find all providers in zip 77007 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379772 | Heights Total Wellness Clinic, Pllc | Family Medicine | 1801 Durham Dr Ste 4, Houston, TX 77007-2272 | 2020-02-25 |
| 1336537422 | Prabha Solanki | Family Medicine | 5850 Rogerdale, Questdiagnostics, Houston, TX 77072 | 2014-12-26 |
| 1619384963 | Paradigm Center for Integrative Medicine, Pllc | Family Medicine | 7505 Fannin St Ste 120, Houston, TX 77054-1929 | 2014-07-18 |
| 1922428994 | Susan Phan | Family Medicine | 929 Gessner Rd Ste 2450, Houston, TX 77024-2593 | 2014-04-17 |
| 1013268689 | Henry Eugene Ruehle | Family Medicine | 18315 Langsbury Dr, Houston, TX 77084-3947 | 2012-09-24 |
| 1164726956 | 290 Mangum Healthcare LLC | Family Medicine | 5005 W 34th St, Suite 102c, Houston, TX 77092-4200 | 2011-01-07 |
| 1821390907 | David N Ngene | Family Medicine | 10190 Harwin Dr, Ste C, Houston, TX 77036-1606 | 2010-11-23 |
| 1508099136 | Wilcrest Medical Clinic Inc. | Family Medicine | 11732 Wilcrest Drive, Houston, TX 77099-4757 | 2009-08-31 |
| 1679731970 | Cheryl K. Johnson Md Pa | Family Medicine | 12121 Richmond Ave Ste 226, Houston, TX 77082-2454 | 2008-05-23 |
| 1376739185 | Afaf Z Shah | Family Medicine | 8840 Memorial Dr, Houston, TX 77024-5809 | 2007-09-15 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.