Organization Active NPI

Gidmec, LP

Doing business as Giddings MEC, LP

  • Family Medicine Physician
  • Giddings, TX
National Provider Identifier
1154496743
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6878 Issued in TX
Legal business name
GIDMEC, LP
Doing business as
Giddings MEC, LP
Practice address
721 E Austin St
Giddings, TX 78942-3403
Phone
(979) 542-9519
Fax
(979) 542-9428
NPI assigned
Nov 21, 2006
Last updated
May 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Kenneth Walker
Title
Clinic Administrator
Phone
(325) 695-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X K6878 TX Primary

Addresses

Primary practice location

721 E Austin St
Giddings, TX 78942-3403

Mailing address

PO Box 270
Giddings, TX 78942-0270
Phone (979) 542-9519

Other names 1

  • Giddings MEC, LP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1154496743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789420270",
            "telephone_number": "979-542-9519",
            "fax_number": "979-542-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E AUSTIN ST",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789423403",
            "telephone_number": "979-542-9519",
            "fax_number": "979-542-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDMEC, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "325-695-5440"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giddings MEC, LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Giddings, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.