WEST TEXAS ALLERGY, PA (NPI# 1073631404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073631404 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS ALLERGY, PA |
| Practice Address |
5000 Briarwood Ave Midland TX 79707-2753 |
| Practice Telephone | 4326825385 |
| Practice Fax Number | 4326821265 |
| Mailing Telephone | 4326825385 |
| Mailing Fax Number | 4326821265 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | DR. MICHAEL P WOLBERT (OWNER) |
| Authorized Official Telephone | 4326825385 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians | ||
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 00608K | 01 |
| TX | 080863601 | 05 |
| Street Address |
5000 BRIARWOOD AVE |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366954059 | Megan Jane Ruhnke | Physician Assistant | 5000 Briarwood Ave, Midland, TX 79707-2753 | 2017-11-02 |
| 1881069995 | Briarwood Clinic, LLC | Nurse Practitioner | 5000 Briarwood Ave, Suite 203, Midland, TX 79707-2753 | 2015-12-01 |
| 1376917575 | Shae Anne Leonard | Physician Assistant | 5000 Briarwood Ave, Midland, TX 79707-2753 | 2015-11-25 |
| 1831505338 | Dorane Thornton | Physician Assistant | 5000 Briarwood Ave, Midland, TX 79707-2753 | 2014-07-03 |
| 1831441385 | Marcy Leann Askins | Nurse Practitioner | 5000 Briarwood Ave, Suite 203, Midland, TX 79707-2753 | 2012-10-09 |
| 1306198270 | Jessica Nicole Salas | Nurse Practitioner | 5000 Briarwood Ave, Suite 203, Midland, TX 79707-2753 | 2012-10-02 |
| 1609152776 | Misty Kay Wilde Fortner | Physician Assistant | 5000 Briarwood Ave, Midland, TX 79707-2753 | 2011-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881711778 | Michael Patrick Wolbert | Allergy & Immunology | 5000 Briarwood Ave., Midland, TX 79707 | 2007-03-23 |
| 1669463899 | John David Bray | Allergy & Immunology | 606-b N Kent St, Midland, TX 79701 | 2005-11-05 |
| 1063827152 | Jonathan M Horbal Do Plc | Allergy & Immunology | 555 W Wackerly St, Ste 2675, Midland, MI 48640-4722 | 2014-06-26 |
| 1538396239 | Jonathan Michael Horbal | Allergy & Immunology | 555 W Wackerly St, Suite 2675, Midland, MI 48640-4722 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290116 | Bellaire Allergy & Asthma Pllc | Allergy & Immunology | 6750 West Loop S Ste 460, Bellaire, TX 77401-4108 | 2020-06-20 |
| 1437705290 | Pooja Paranjpe Md | Allergy & Immunology | 7150 N George Bush Hwy Ste 204, Garland, TX 75044-2210 | 2019-08-16 |
| 1235798109 | Maryam Saifi, Pllc | Allergy & Immunology | 4001 Barnett Dr, Plano, TX 75024-3421 | 2019-06-13 |
| 1891259016 | Allergy Partners of Texas, Inc | Allergy & Immunology | 3410 Far West Blvd Ste 146, Austin, TX 78731-3167 | 2019-01-23 |
| 1962997650 | Chelsea Lynn Russell | Allergy & Immunology | 540 Madison Oak Dr Ste 210, San Antonio, TX 78258-3920 | 2018-06-26 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1720468416 | Ania K George Md Pa | Allergy & Immunology | 26400 Kuykendahl Rd Ste C220, The Woodlands, TX 77375 | 2015-06-08 |
| 1407234347 | Savannah Leigh Sommerhalder | Allergy & Immunology | 4801 Woodway Dr Ste 120e, Houston, TX 77056-1872 | 2015-05-12 |
| 1093106874 | Allergy Partners of Texas, Inc. | Allergy & Immunology | 7777 Forest Ln Ste B332, Dallas, TX 75230-6822 | 2015-02-14 |
| 1689085854 | South Texas Allergy & Asthma Medical Professionals Pllc | Allergy & Immunology | 10447 Hwy 151, San Antonio, TX 78251-4551 | 2014-05-09 |
| Find all providers with the same taxonomy | ||||
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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.