WELLNESS & INJURY MEDICAL CENTER (NPI# 1356778195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356778195 |
| Entity Type | Organization |
| Organization Name | WELLNESS & INJURY MEDICAL CENTER |
| Practice Address |
4682 E University Blvd Suite A Odessa TX 79762-8178 |
| Practice Telephone | 4323638020 |
| Practice Fax Number | 4323630962 |
| Mailing Telephone | 4323638020 |
| Mailing Fax Number | 4323630962 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | CHARLES ANTHONY SCOTT (OWNER) |
| Authorized Official Telephone | 4323638020 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 792081 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4682 E UNIVERSITY BLVD SUITE A |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-8178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856275 | Alexis Parker | Nurse Practitioner | 15625 Hawks Crest Loop, Odessa, FL 33556-1701 | 2020-09-16 |
| 1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1477853943 | Michelle K Fletes | Nurse Practitioner | 7101 Eastridge Rd, Odessa, TX 79765-8919 | 2010-10-29 |
| 1396850871 | Lee M Macmurdo IIi | Nurse Practitioner | 410 N Hancock Ave, Odessa, TX 79761-5140 | 2006-08-21 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1629059852 | Glori Elizebeth Ferguson | Nurse Practitioner | 1427 Idlewood Ln, Odessa, TX 79761-3427 | 2005-11-05 |
| 1053315309 | Violet Frances Rice | Nurse Practitioner | 510 E Amende Dr, Odessa, WA 99159-7003 | 2005-06-01 |
| 1336756030 | Veronica Garcia | Nurse Practitioner | 540 W 5th St, Odessa, TX 79761-5034 | 2020-09-26 |
| 1871138735 | Emily A Jones | Nurse Practitioner | 519 N Lincoln Ave, Odessa, TX 79761-4429 | 2019-11-14 |
| Find all providers in ODESSA | ||||
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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.