SURESH PRASAD (NPI# 1053419572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053419572 |
| Entity Type | Individual |
| Full Name | SURESH PRASAD |
| Credential | MD |
| Practice Address |
403 Pittsburg Ave Odessa TX 79761-5224 |
| Mailing Address |
Po Box 4147 Odessa TX 79760 |
| Practice Telephone | 4323323400 |
| Practice Fax Number | 4323326500 |
| Mailing Telephone | 4323323400 |
| Mailing Fax Number | 4323326500 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | K8430 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 100749403 | 05 |
| Street Address |
403 PITTSBURG AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285153221 | Grace Castillo Andrade | Physician Assistant | 403 Pittsburg Ave, Odessa, TX 79761-5224 | 2017-09-11 |
| 1770034720 | Kimberly Cedillo | Nurse Practitioner | 403 Pittsburg Ave, Odessa, TX 79761-5224 | 2016-10-14 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262267 | Vedesh Kumar Babu | Internal Medicine | 701 W 5th St Ste 3106, Odessa, TX 79763-4206 | 2020-07-17 |
| 1396391058 | William S. Wood | Internal Medicine | 14051 Pointe Anne Dr, Odessa, FL 33556-4301 | 2019-08-16 |
| 1407416787 | Saima Mahmood | Internal Medicine | 701 W 5th St Ste No1229, Odessa, TX 79763-4206 | 2019-06-18 |
| 1548657661 | Gabriela Mroueh | Internal Medicine | 8050 E Highway 191 Ste 213, Odessa, TX 79765-8615 | 2015-04-16 |
| 1568600104 | Rudy Mayoz | Internal Medicine | 16206 Hoylake Dr, Odessa, FL 33556-2875 | 2009-02-03 |
| 1366625683 | Sreedevi Godey | Internal Medicine | 840 W Clements, Odessa, TX 79761 | 2007-12-10 |
| 1568656940 | Andrew L Rutherford | Internal Medicine | 16404 Swan View Cir, Odessa, FL 33556-4938 | 2007-08-29 |
| 1902009939 | Louise Nathalie De Boer | Internal Medicine | 4101 E 42nd St Ste J-14, Odessa, TX 79762-7239 | 2007-06-07 |
| 1386782266 | Joel L Adams | Internal Medicine | 500 N Washington Ave Ste 100, Odessa, TX 79761-4441 | 2007-02-02 |
| 1740369354 | Kendall H. Wong | Internal Medicine | 318 N Alleghaney, 300, Odessa, TX 79761 | 2006-11-03 |
| 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.