DR. DAVID MEDUNA (NPI# 1871666461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871666461 |
| Entity Type | Individual |
| Full Name | DR. DAVID MEDUNA |
| Credential | M.D. |
| Practice Address |
1602 Rock Prairie Rd Ste 3100 College Station TX 77845-5990 |
| Practice Telephone | 9797646868 |
| Practice Fax Number | 9796948804 |
| Mailing Telephone | 9797646868 |
| Mailing Fax Number | 9796948804 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | M5374 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 184841801 | 05 | |
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 8AE860 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356461800 | David Joseph Meduna | Pediatrics | 3262 Salt Creek Cir, Lincoln, NE 68504-4761 | 2007-03-29 |
| Street Address |
1602 ROCK PRAIRIE RD STE 3100 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-5990 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1407060783 | David Meduna, M.d., P.a. | Obstetrics & Gynecology | 1602 Rock Prairie Rd, Ste 3100, College Station, TX 77845-8306 | 2007-05-09 |
| 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 |
Please comment or provide details below to improve the information on DR. DAVID MEDUNA.
| 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.