DAVID MEDUNA, M.D., P.A. (NPI# 1407060783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407060783 |
| Entity Type | Organization |
| Organization Name | DAVID MEDUNA, M.D., P.A. |
| Practice Address |
1602 Rock Prairie Rd Ste 3100 College Station TX 77845-8306 |
| Practice Telephone | 9797646868 |
| Practice Fax Number | 9796948804 |
| Mailing Telephone | 9797646868 |
| Mailing Fax Number | 9796948804 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | DR. DAVID MEDUNA (DIRECTOR) |
| Authorized Official Telephone | 9797646868 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 187842301 | 05 | |
| TX | COLLEGE STATION CLINIC | 1275726853 | 01 |
| TX | 187842302 | 05 | |
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 0026PV | 01 |
| TX | BVCAA AGENCY | 1821185299 | 01 |
| TX | 184841802 | 05 |
| Street Address |
1602 ROCK PRAIRIE RD STE 3100 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136938 | Randy Wallace Smith | Obstetrics & Gynecology | 1602 Rock Prairie Rd, #430, College Station, TX 77845-8306 | 2005-07-07 |
| 1104392505 | Elizabeth Jane Riley | Nurse Practitioner | 1602 Rock Prairie Rd, College Station, TX 77845-8306 | 2018-10-23 |
| 1871029322 | Katie Hepfer | Nurse Practitioner | 1602 Rock Prairie Rd, Suite 300, College Station, TX 77845-8306 | 2017-05-03 |
| 1508226234 | A.shanmugam M.d | Internal Medicine | 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845-8306 | 2016-02-23 |
| 1851735849 | Caitlin Sears | Physician Assistant | 1602 Rock Prairie Rd, Suite 3400, College Station, TX 77845-8306 | 2013-04-22 |
| 1396084380 | Bcs Allergy & Asthma | Allergy & Immunology | 1602 Rock Prairie Rd, Ste 270, College Station, TX 77845-8306 | 2013-02-11 |
| 1770844664 | Bryan College Station Prosthetics Inc | Prosthetic/Orthotic Supplier | 1602 Rock Prairie Rd, Suite 150, College Station, TX 77845-8306 | 2012-06-06 |
| 1407163660 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #230, College Station, TX 77845-8308 | 2010-09-09 |
| 1043527476 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #1100, College Station, TX 77845-8306 | 2010-09-07 |
| 1598090599 | Iyabode Ogunlade, Md Pa | Specialist | 1602 Rock Prairie Rd, Ste 3000, College Station, TX 77845-8306 | 2009-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871666461 | David Meduna | Obstetrics & Gynecology | 1602 Rock Prairie Rd Ste 3100, College Station, TX 77845-5990 | 2006-11-15 |
| 1235136938 | Randy Wallace Smith | Obstetrics & Gynecology | 1602 Rock Prairie Rd, #430, College Station, TX 77845-8306 | 2005-07-07 |
| 1316325798 | Alexandria Youssef Richards | Obstetrics & Gynecology | 700 Scott and White Dr, College Station, TX 77845-6441 | 2015-05-18 |
| 1891180857 | Chelsea Diane Velasquez | Obstetrics & Gynecology | 800 Scott and White Dr, College Station, TX 77845-6440 | 2015-04-06 |
| 1679839096 | Candice Leeann Luedke | Obstetrics & Gynecology | 800 Scott and White Dr, College Station, TX 77845-6440 | 2012-04-10 |
| 1972644466 | George Michael Hodnett | Obstetrics & Gynecology | 1651 Rock Prairie Rd, Suite 101, College Station, TX 77845-8652 | 2007-02-09 |
| 1942308457 | Women's Professional Health Center | Obstetrics & Gynecology | 1605 Rock Prairie Rd, 220, College Station, TX 77845 | 2006-09-20 |
| 1083719231 | Mahendra O Thakrar | Obstetrics & Gynecology | 1602 Rock Prairie Rd, Ste 3100, College Station, TX 77845 | 2006-09-13 |
| 1669589958 | Noshi B. Ghattas | Obstetrics & Gynecology | 1605 Rock Prairie Rd, Suite 220, College Station, TX 77845-8358 | 2006-08-24 |
| 1730104233 | Jennifer J Blasingame | Obstetrics & Gynecology | 1602 Rock Prairie Rd, Suite 3000, College Station, TX 77845-8306 | 2006-07-13 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.