Active NPI
David Meduna, M.D., P.a.
- Obstetrics & Gynecology Physician
- College Station, TX
National Provider Identifier
1407060783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- DAVID MEDUNA, M.D., P.A.
- Practice address
- 1602 Rock Prairie Rd
Ste 3100
College Station, TX 77845-8306 - Phone
- (979) 764-6868
- Fax
- (979) 694-8804
- NPI assigned
- May 9, 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
- Dr. David Meduna, M.D.
- Title
- Director
- Phone
- (979) 764-6868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1602 Rock Prairie Rd
Ste 3100
College Station, TX 77845-8306
Mailing address
1602 Rock Prairie Rd
Ste 3100
College Station, TX 77845-8306
Phone (979) 764-6868
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275726853 | Other | TX | COLLEGE STATION CLINIC |
| 187842302 | Medicaid | TX | |
| 1821185299 | Other | TX | BVCAA AGENCY |
| 0026PV | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| 184841802 | Medicaid | TX | |
| 187842301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/18429/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- College Station, TX
- NPI 1528321213
-
- Physician Assistant
- College Station, TX
- NPI 1972540409
-
- General Practice Physician
- Arlington, TX
- NPI 1083719231
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1407060783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 ROCK PRAIRIE RD",
"address_2": "STE 3100",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458306",
"telephone_number": "979-764-6868",
"fax_number": "979-694-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 ROCK PRAIRIE RD",
"address_2": "STE 3100",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458306",
"telephone_number": "979-764-6868",
"fax_number": "979-694-8804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID MEDUNA, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "MEDUNA",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "979-764-6868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLLEGE STATION CLINIC",
"identifier": "1275726853",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187842302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BVCAA AGENCY",
"identifier": "1821185299",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "0026PV",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184841802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187842301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.