David N Podgurecki, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F3290 Issued in TX

Legal business name

DAVID N PODGURECKI, MD PA

Practice address

1670 E Broad St
Suite 102
Mansfield, TX 76063-1862

Phone

(817) 473-2228

NPI assigned

Jul 22, 2008

Last updated

Nov 25, 2008By 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

Mr. Greg Podgurecki

Title

Superviser Biller

Phone

(817) 561-4885

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Sueanne Elizabeth Baddour, DNP, APRN, FNP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1225459852
  NPD (past)
• Margaret Gariota, NP

  • Family Nurse Practitioner
  • Mansfield, TX
  • NPI 1922211358
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1871758573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 FLOWER GARDEN DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E BROAD ST",
            "address_2": "SUITE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631862",
            "telephone_number": "817-473-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID N PODGURECKI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "PODGURECKI",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "SUPERVISER BILLER",
        "authorized_official_telephone_number": "817-561-4885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Jean Danner, LCSW CCM
• Maxine Danso, DDS
• Paul Walter Daum, M.D.
• Jessica Wagner Davault, M.S. CCC-SLP
• Pramesh Chandrakant Dave, M.D.
• Heather Smith Davidson, PT
• Tzietal Gail Davidson, P.A.-C
• Nathalie Davila, M.D.
• Am'Breshia M Davis, LMSW
• Barbara A Davis, FNP

• Family Medicine Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.