PERMIAN ACUTE CARE SURGERY PLLC (NPI# 1083127724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083127724 |
Entity Type | Organization |
Organization Name | PERMIAN ACUTE CARE SURGERY PLLC |
Practice Address |
701 Tradewinds Blvd Ste B Midland TX 79706-3166 |
Mailing Address |
Po Box 7106 Midland TX 79708-7106 |
Practice Telephone | 4326186772 |
Practice Fax Number | 4326186775 |
Mailing Telephone | 4326186772 |
Mailing Fax Number | 4326186775 |
Enumeration Date | 2017-11-15 |
Last Update Date | 2017-11-15 |
Authorized Official Name | LAURA RODRIGUEZ (MANAGER) |
Authorized Official Telephone | 4326186772 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
TX | Allopathic & Osteopathic Physicians | |
N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
TX | Allopathic & Osteopathic Physicians | |
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
TX | Allopathic & Osteopathic Physicians |
Street Address |
701 TRADEWINDS BLVD STE B |
City | MIDLAND |
State | TX |
Zip Code | 79706-3166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659582948 | Thomas Kevin Cook | Surgery | 701 Tradewinds Blvd Ste B, Midland, TX 79706-3166 | 2007-05-25 |
1124665526 | Priscilla Wilson | Surgery | 701 Tradewinds Blvd Ste B, Midland, TX 79706-3166 | 2019-12-04 |
1144764184 | Midland Hand Clinic Pllc | Plastic Surgery | 701 Tradewinds Blvd Ste B, Midland, TX 79706-3148 | 2016-12-09 |
1316189921 | Matthew Steven Brown | Plastic Surgery | 701 Tradewinds Blvd Ste B, Midland, TX 79706-3166 | 2009-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376183988 | Sara E Valentine | Nurse Practitioner | 4815 Ih-20 Bl W, Midland, TX 79706 | 2020-01-11 |
1508407958 | Vanessa Vazquez | Licensed Practical Nurse | 7701 Wcr 116 Sp63, Midland, TX 79706 | 2019-10-07 |
1316420060 | Sandra Carbajal | Licensed Practical Nurse | 2914 Scr 1193, Midland, TX 79706 | 2018-09-10 |
1184106429 | Guadalupe Linda Martinez | Registered Nurse | 3103 South County Road 1197, Midland, TX 79706 | 2018-09-04 |
1154821999 | Rebecca Gail Hildebrand | Licensed Vocational Nurse | 7701 Wcr 116 #83, Midland, TX 79706 | 2018-02-19 |
1174993927 | H-e-b, Lp | Clinical Medical Laboratory | 5407 Andrews Hwy, Midland, TX 79706 | 2015-10-05 |
1366623803 | Roddy Strobel Mdpa | Psychiatry & Neurology | 3300 S. Fm 1788, Suite 403, Odessa, TX 79706 | 2007-11-26 |
1043270085 | Franklin J Dzida | Orthopaedic Surgery | 5615 Deauville Blvd, Ste 220, Midland, TX 79706 | 2006-03-24 |
1114996048 | Stephanie Ann Schoen-orr | Counselor | 10008 Pilot Ave, Midland, TX 79706 | 2006-03-14 |
1790770402 | Gerardo Escobedo | Ophthalmology | 10100 Loop 40 West, Midland, TX 79706 | 2005-09-19 |
Find all providers in zip 79706 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356452668 | Midland Surgical Associates, P.a. | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174034623 | Stat Trauma & Surgical Services, Pllc | Surgery | 6 Garden Ln, Arlington, TX 76016 | 2017-10-23 |
1487164604 | Urgent Specialty Associates Pllc | Surgery | 4100 Spring Valley Rd Ste 250, Farmers Branch, TX 75244-3645 | 2017-10-02 |
1578969788 | Advanced Fracture Care Solutions Pllc | Surgery | 2145 Sutton Pl, Plano, TX 75093-4323 | 2014-11-16 |
1952737371 | Ernest A Gonzalez Md Pa | Surgery | 12319 N Mopac Expy Ste 350, Austin, TX 78758-2512 | 2013-09-17 |
1831393735 | Alexander Laurance Eastman | Surgery | 5323 Harry Hines Blvd # Mc9158, Department of Surgery--btcc, Dallas, TX 75390-9158 | 2007-06-13 |
1669592242 | Surgical Consultants Pa | Surgery | 6210 Wooldridge Rd Ste A, Corpus Christi, TX 78414-2528 | 2007-03-29 |
1144240508 | Ted R. Smith | Surgery | 50 Hillcrest Medical Blvd Ste 105, Waco, TX 76712-8953 | 2006-07-20 |
1750310520 | Matthew A Lovitt | Surgery | 2710 Swiss Avenue, Dallas, TX 75204-5900 | 2006-07-02 |
1730115270 | Jimie Dianne Owsley | Surgery | 810 Morgan Ave Apt 1, Corpus Christi, TX 78404-2058 | 2006-06-25 |
1578500815 | Advanced Laparoendoscopic Surgery, Pllc | Surgery | 3005 West Loop S, Suite 225, Houston, TX 77027-6100 | 2006-06-02 |
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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.