Individual provider Active NPI

Gregory F. Mondini, M.D.

  • Obstetrics & Gynecology Physician
  • Athens, TX
National Provider Identifier
1689854614
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J7099 Issued in TX
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

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P000R38X4MedicaidTX

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

LicenseStateTypeSpecialty
J7099TXMDObstetrics & 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.

Verify at the official NPI Registry.