Gregg T. Podleski, D.O. P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

J7138 Issued in TX

Legal business name

GREGG T. PODLESKI, D.O. P.A.

Practice address

2540 N Galloway Ave
Suite 302
Mesquite, TX 75150-6306

Phone

(972) 613-7776

Fax

(972) 613-7775

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gregg Thomas Podleski, D.O., P.A.NPI 1376596395

Title

Owner / Ceo

Phone

(972) 613-7776

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregg T Podleski, D.O.

  • Orthopaedic Surgery Physician
  • Litchfield, IL
  • NPI 1376596395
  NPD (past) Authorized official

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1649403106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851858",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851858",
            "telephone_number": "972-613-7776",
            "fax_number": "972-613-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE",
            "address_2": "SUITE 302",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506306",
            "telephone_number": "972-613-7776",
            "fax_number": "972-613-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG T. PODLESKI, D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "PODLESKI",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "972-613-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., P.A."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J7138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "3342342",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "N35U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03034994601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4570998",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL ACS",
            "identifier": "180405500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brionna Green
• Gloria J Green, LCSW
• Tesla Green
• Adrienne R Greer, CLASS A BARBER
• Gregg T. Podleski D.O.
• Mark Gregory, M.D., D.D.S
• Ellie Grace Gribble
• Amy Elizabeth Griffin, MS, CCC-SLP
• Jessica Griffin, FNP-C
• Katelyn Nicole Gruell

• Orthopaedic Surgery Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Orthopaedic Surgery Physician in Texas

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