MRS. CASEY LYNN ANGELL (NPI# 1366454274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366454274 |
| Entity Type | Individual |
| Full Name | MRS. CASEY LYNN ANGELL |
| Credential | PA-C |
| Practice Address |
5117 Sunmore Cir Midland TX 79707 |
| Mailing Address |
5117 Sunmore Cir Midland TX 79707-5124 |
| Practice Telephone | 4326892512 |
| Practice Fax Number | 4326892108 |
| Mailing Telephone | 4326892512 |
| Mailing Fax Number | 4326892108 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA04642 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8N9750 | 01 |
| TX | PA LICENSE | PA04642 | 01 |
| TX | 110400202 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5117 Sunmore Cir, Midland, TX 79707 | 4326892512 | 4326892108 |
| 1340 E 7th St, Odessa, TX 797614724 | 4323322663 | 4323370910 |
| Street Address |
5117 SUNMORE CIR |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091288 | Leigha Sharp | Dermatology | 5117 Sunmore Cir, Midland, TX 79707-5124 | 2016-05-20 |
| 1043673460 | Katherine Brawner Williamson | Physician Assistant | 5117 Sunmore Cir, Midland, TX 79707-5124 | 2016-04-02 |
| 1811203524 | Akin Chandler Md Pllc | Dermatology | 5117 Sunmore Cir, Midland, TX 79707-5124 | 2010-08-19 |
| 1396937280 | Rachel Gray Chandler | Dermatology | 5117 Sunmore Cir, Midland, TX 79707 | 2007-08-14 |
| 1346432440 | Russell Scott Akin | Dermatology | 5117 Sunmore Cir, Midland, TX 79707 | 2007-08-13 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407227820 | Lisa Van Dorp | Physician Assistant | 4000 Wellness Dr, Midland, MI 48670-2000 | 2015-10-12 |
| 1437533445 | Cara Callan | Physician Assistant | 4201 Campus Ridge Dr, Midland, MI 48640-6128 | 2015-07-20 |
| 1174846364 | Rebecca Annette Sanchez | Physician Assistant | 5615 Deauville Ste 240, Midland, TX 79706-2709 | 2010-03-02 |
| 1942308846 | Ray Steen | Physician Assistant | 2000 W Ohio Ave, Midland, TX 79701-5946 | 2006-09-21 |
| 1285675843 | Laura M Scott | Physician Assistant | 4007 Orchard Dr, Sutie 2003, Midland, MI 48640-6187 | 2006-06-08 |
| 1891740130 | Midmichigan Physicians Group | Physician Assistant | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| 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.