Active NPI
Meredith D Davenport, MD
- Obstetrics & Gynecology Physician
- Kyle, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L6341
- Practice address
- 6001 Kyle Pkwy
Kyle, TX 78640-6112 - Phone
- (858) 876-2496
- Fax
- (512) 717-7547
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | L6341 | TX | Primary |
Addresses
Primary practice location
6001 Kyle Pkwy
Kyle, TX 78640-6112
Mailing address
153 Champion Cir
Wimberley, TX 78676-3321
Phone (512) 871-0204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB111143 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6341 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Westover Hills Women'S Health PA | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
7430 Barlite Blvd
Ste 105
San Antonio, TX 78224
Phone (210) 568-1949
11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Obstetrics & Gynecology Physician
- San Antonio, TX
- NPI 1477765824
-
- Family Medicine Physician
- Pleasanton, TX
- NPI 1285934075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1891855243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 CHAMPION CIR",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786763321",
"telephone_number": "512-871-0204",
"fax_number": "512-717-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 KYLE PKWY",
"city": "KYLE",
"state": "TX",
"postal_code": "786406112",
"telephone_number": "858-876-2496",
"fax_number": "512-717-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "MEREDITH",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L6341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB111143",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.