GGG Medical PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

K9291 Issued in TX

Legal business name

GGG MEDICAL PLLC

Practice address

870 N Coit Rd Ste 2660
Richardson, TX 75080-6215

Phone

(972) 235-2459

Fax

(972) 235-9435

NPI assigned

Aug 9, 2018

Last updated

Aug 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vladimir Grebennikov, MDNPI 1952399313

Title

Owner

Phone

(972) 495-4926

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vladimir Alexandrovich Grebennikov, M.D.

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1952399313
  Authorized official Same address or phone

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1790264877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N COIT RD STE 2660",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806215",
            "telephone_number": "972-235-2459",
            "fax_number": "972-235-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N COIT RD STE 2660",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806215",
            "telephone_number": "972-235-2459",
            "fax_number": "972-235-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGG MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "GREBENNIKOV",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-495-4926",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K9291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah George
• Timothy John Georgelas, MD
• Jai Georgy, NP-C
• Geriatrics & Family Practice Associates of South Texas PLLC
• Crystal Gesch
• Harmeet Ghai
• Gibbs Eyecare and Optical Gallery PLLC (Dr. Chandra Y. Gibbs DBA Gibbs Eyecare And Optical Gallery)
• Chandra Yvette Gibbs, O.D.
• Dakota Alexandria Gibbs, BS, MS,
• Charmaine C Gibson, M.D.

• Primary Care Clinic/Center in Richardson, TX
• Providers in Richardson, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.