Mary J Garnepudi, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

H8650 Issued in TX

Practice address

403 Ogletree Dr
Suite 200
Livingston, TX 77351-9444

Phone

(936) 327-7799

NPI assigned

Oct 17, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Hospital of Polk County

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  NPD (past)
• Timberland Medical Group

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1528061157

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1821087438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR",
            "address_2": "SUITE 200",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-327-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR",
            "address_2": "SUITE 200",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-327-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNEPUDI",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H8650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10050921",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "48587742",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1116871",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21140705603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111454804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111454806",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H8816",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frankie Frieda, APRN, FNP-BC
• Therese Fuchs, MD
• Valerie Fuller, MS, SLP
• G2 Pediatric Therapy, LLC
• Rusti Garcia, MS, LPC
• George L. Deloach, D.O., PA
• Gerald Ratinov MD Care P a
• Alison Glass, OTD
• Christina Marie Gonzalez, LPC
• Good Shepherd Assistant Living

• Obstetrics & Gynecology Physician in Livingston, TX
• Providers in Livingston, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.