PERMIAN PREMIER HEALTH SERVICES INC (NPI# 1285299131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285299131 |
Entity Type | Organization |
Organization Name | PERMIAN PREMIER HEALTH SERVICES INC |
Practice Address |
520 E 6th St Odessa TX 79761-4527 |
Mailing Address |
Po Box 24573 Belfast ME 04915-4496 |
Practice Telephone | 4325828053 |
Practice Fax Number | 4325828054 |
Mailing Telephone | 8556600300 |
Enumeration Date | 2019-05-07 |
Last Update Date | 2019-05-07 |
Authorized Official Name | JONATHAN A DEMKE (CEO) |
Authorized Official Telephone | 6154671072 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | Other Service Providers |
Other Name | Type Code |
---|---|
STEWARD MEDICAL GROUP OF TEXAS | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487211843 | Permian Premier Health Services Inc | Obstetrics & Gynecology | 1002 Texas Blvd Ste 322, Texarkana, TX 75501-5118 | 2019-05-21 |
1558839076 | Permian Premier Health Services Inc | Family Medicine | 2929 Calder St Ste 100, Beaumont, TX 77702-1841 | 2018-11-02 |
1871149807 | Permian Premier Health Services Inc | Clinic/Center | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2019-08-15 |
1972168425 | Permian Premier Health Services Inc | Specialist | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2019-05-09 |
1578024303 | Permian Premier Health Services Inc | Clinic/Center | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2019-03-26 |
1982169603 | Permian Premier Health Services Inc | Clinical Medical Laboratory | 2929 Calder St Ste 100, Beaumont, TX 77702-1841 | 2019-02-06 |
1932664091 | Permian Premier Health Services Inc | Anesthesiology | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2019-02-04 |
1285664763 | Permian Premier Health Services Inc | Contractor | 520 E 6th St, Odessa, TX 79761-4527 | 2006-07-03 |
Street Address |
520 E 6TH ST |
City | ODESSA |
State | TX |
Zip Code | 79761-4527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518959089 | Permian Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2005-08-19 |
1114557675 | Christi Hill | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-23 |
1477183317 | Bradley Boyd Massey | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-20 |
1780224329 | Reid E Ivy | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-12 |
1275171423 | Kailani Alana Lee Decock | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-12-18 |
1528617552 | Liberty Dawn Mitchell | Licensed Vocational Nurse | 520 E 6th St, Odessa, TX 79761-4527 | 2019-09-11 |
1538714076 | Stephanie Renee' Powell | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-08-01 |
1811460330 | Stefanie Hughes | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2019-01-08 |
1497240592 | Bienvenido Buaquen Baquirin | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2018-06-30 |
1811480163 | Teresa L Armendariz | Registered Nurse | 520 E 6th St, Odessa, TX 79761-4527 | 2018-06-12 |
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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 | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497268437 | Tom Bonk | Contractor | 167 Taylors Bridge Road, Odessa, DE 19730 | 2017-11-13 |
1043423601 | Denise Rochelle Wegman | Contractor | 18150 Oakdale Rd, Odessa, FL 33556-4914 | 2007-05-08 |
1952836827 | Tera Crossland | Contractor | 2020 E 8th St, Odessa, TX 79761-4204 | 2017-04-27 |
1285664763 | Permian Premier Health Services Inc | Contractor | 520 E 6th St, Odessa, TX 79761-4527 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174123228 | D and J Development | Contractor | 3016 N I 35 E, Lancaster, TX 75134-1851 | 2020-10-28 |
1427657659 | Mipcn, Inc. | Contractor | 9305 Hammerly Blvd, Houston, TX 77080-5413 | 2020-10-19 |
1497353569 | Mark Sanders | Contractor | 3046 Fordham Rd, Dallas, TX 75216-4819 | 2020-10-12 |
1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
1235744244 | Dignity Services LLC | Contractor | 1001 N Medford Rd, Brownsville, TX 78521-8474 | 2020-09-15 |
1568076826 | Hanaa Mohammed | Contractor | 6825 Huebner Rd # 680012, San Antonio, TX 78238-2108 | 2020-09-03 |
1609487107 | Lateshna D Oliver | Contractor | 1714 7th St, Wichita Falls, TX 76301-4223 | 2020-08-10 |
1588282354 | Tenzie May | Contractor | 5413 Mansel Ln, Fort Worth, TX 76134-1615 | 2020-07-08 |
1720605116 | Physmedics LLC | Contractor | 10900 Research Blvd., Ste 160-c, #3, Austin, TX 78759-5718 | 2020-07-01 |
1609493444 | Kizzey Ann Collins | Contractor | 810 Skyline Trl, Houston, TX 77019-2950 | 2020-06-27 |
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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.