Active NPI
Gregory F. Mondini, M.D.
- Obstetrics & Gynecology Physician
- Athens, TX
National Provider Identifier
1689854614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- J7099
- Practice address
- 607 E Clinton Ave
Athens, TX 75751-3411 - Phone
- (903) 675-7700
- Fax
- (903) 675-7809
- NPI assigned
- Nov 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J7099 | TX | Primary |
Addresses
Primary practice location
607 E Clinton Ave
Athens, TX 75751-3411
Mailing address
607 E Clinton Ave
Athens, TX 75751-3411
Phone (903) 675-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000R38X4 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J7099 | TX | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1689854614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 E CLINTON AVE",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513411",
"telephone_number": "903-675-7700",
"fax_number": "903-675-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 E CLINTON AVE",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513411",
"telephone_number": "903-675-7700",
"fax_number": "903-675-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDINI",
"first_name": "GREGORY",
"middle_name": "F.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "J7099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000R38X4",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.