LYDEN C ODUKWU MD PA (NPI# 1427236215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427236215 |
| Entity Type | Organization |
| Organization Name | LYDEN C ODUKWU MD PA |
| Other Organization Name | MIDLAND FAMILY CARE |
| Practice Address |
3305 Andrews Hwy Ste B Midland TX 79703-5130 |
| Mailing Address |
Po Box 4516 Midland TX 79704-4516 |
| Practice Telephone | 4326200525 |
| Mailing Telephone | 4326200525 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | LYDEN C ODUKWU (OWNER) |
| Authorized Official Telephone | 4326200520 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L7830 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0036MP | 01 |
| Other Name | Type Code |
|---|---|
| MIDLAND FAMILY CARE | Doing Business As Name - Organization |
| Street Address |
3305 ANDREWS HWY STE B |
| City | MIDLAND |
| State | TX |
| Zip Code | 79703-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637160 | Rachel Murphy | Dietitian, Registered | 4214 Andrews Highway, Suite 107, Midland, TX 79703 | 2020-07-27 |
| 1740819994 | Hunter Occupational Solution | Clinic/Center | 4311 Andrews Hwy., Midland, TX 79703 | 2020-04-08 |
| 1467920413 | Megan Boxberger | Physical Therapy Assistant | 2501 W Illinois, Midland, TX 79703 | 2018-11-07 |
| 1982186219 | Veronica Yero | Occupational Therapy Assistant | 800 Beal Pkwy, Midland, TX 79703 | 2018-09-04 |
| 1801304480 | Alyssa Wennerlind | Counselor | 3701 Andrews Hwy., Midland, TX 79703 | 2018-01-17 |
| 1447797014 | Dickerson Dallas Pain On Pa | Specialist | 4311 Andrews Hwy, Midland, TX 79703 | 2017-01-20 |
| 1790236198 | Foursquare Texas 16, LLC | Skilled Nursing Facility | 801 South Loop 250 West, Midland, TX 79703 | 2016-10-20 |
| 1578974754 | West Texas Endocrinology & Diabetes Pa | Internal Medicine | 3305 Andrews Hwy Ste B1, Midland, TX 79703 | 2014-05-09 |
| 1295969699 | Ramakrishna Thokala | Internal Medicine | 3302 W Golf Course Rd Ste 100, Midland, TX 79703 | 2009-05-13 |
| 1699959569 | City of Midland | Public Health or Welfare | 3303 W Illinois, Sp 22, Midland, TX 79703 | 2007-12-27 |
| Find all providers in zip 79703 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1982202263 | Stonehaven Medical Group, Pllc | Family Medicine | 4507 Santa Rosa Dr, Midland, TX 79707-2260 | 2020-10-09 |
| 1346888625 | Kw Medical Pllc | Family Medicine | 2300 W Michigan Ave Ste 7, Midland, TX 79701-5808 | 2019-12-17 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1104351055 | Mh Health Care Services, PC | Family Medicine | 2201 Fm 715, C/o Endeavor Family Clinic, Midland, TX 79706-4211 | 2017-04-28 |
| 1407380660 | Bel Esc Wellness Pllc | Family Medicine | 2304 W Michigan Ave Ste A, Midland, TX 79701-5830 | 2017-04-14 |
| 1588078620 | Melissa Weckesser | Family Medicine | 4611 Campus Ridge, Midland, MI 48670-6122 | 2014-06-17 |
| 1619388774 | Zachary Paul Castle | Family Medicine | 3415 N Loop 250 W Bldg 4, Midland, TX 79707-6034 | 2014-05-12 |
| 1447598875 | Bhuvana Balasekaran Md Pa | Family Medicine | 1301 W Wall St, Ste C, Midland, TX 79701-6621 | 2013-01-18 |
| Find all providers in MIDLAND | ||||
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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.