JEFFERY M PINNOW (NPI# 1063693125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063693125 |
Entity Type | Individual |
Full Name | JEFFERY M PINNOW |
Credential | M.D. |
Practice Address |
500 W 4th St Odessa TX 79761-5001 |
Mailing Address |
4001 Faudree Rd Apt #g305 Odessa TX 79765-8620 |
Practice Telephone | 4326404000 |
Mailing Telephone | 7178515420 |
Enumeration Date | 2007-11-16 |
Last Update Date | 2012-01-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
A112187 | CA | Allopathic & Osteopathic Physicians |
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
N6583 | TX | Allopathic & Osteopathic Physicians |
Street Address |
500 W 4TH ST |
City | ODESSA |
State | TX |
Zip Code | 79761-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033113808 | Bruce Carl Becker II | Family Medicine | 500 W 4th St, Odessa, TX 79761-5001 | 2005-06-09 |
1033724000 | Hannah Brooke Lineberry | Pharmacist | 500 W 4th St, Odessa, TX 79761-5059 | 2020-09-15 |
1376164673 | Kayal Kanni Dhevi Chandramohan | Dietitian, Registered | 500 W 4th St, Odessa, TX 79761-5001 | 2020-04-28 |
1669009643 | Phillip Cook | Pharmacist | 500 W 4th St, Odessa, TX 79761-5001 | 2020-03-27 |
1609406560 | Alan Robinson | Nurse Anesthetist, Certified Registered | 500 W 4th St, Odessa, TX 79761-5001 | 2020-01-20 |
1447899679 | Olivia Ortiz | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2020-01-06 |
1780227280 | Chasity Ann Young | Physician Assistant | 500 W 4th St, Odessa, TX 79761-5001 | 2019-10-28 |
1720639776 | Candy Bowen | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2019-09-21 |
1548826100 | Lakshmi Praveena Alahari | Student in an Organized Health Care Education/Training Program | 500 W 4th St, Odessa, TX 79761-5001 | 2019-05-18 |
1215498944 | Christi Michelle Tucker | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2019-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
Find all providers in zip 79761 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
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1588135024 | Scott Allen Frankel | Emergency Medicine | 5205 Pine St, Bellaire, TX 77401-4820 | 2018-12-10 |
1104324433 | Anc Physicians Group Pllc | Emergency Medicine | 1860 S Seguin Ave Ste 400, New Braunfels, TX 78130-3915 | 2018-02-01 |
1780197574 | 4642 N Mesa Er Physicians Pllc | Emergency Medicine | 4642 N Mesa St., El Paso, TX 79912 | 2017-11-15 |
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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.