GUADALUPE VALLEY SURGICAL ASSOCIATES PA (NPI# 1114159357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114159357 |
| Entity Type | Organization |
| Organization Name | GUADALUPE VALLEY SURGICAL ASSOCIATES PA |
| Other Organization Name | PERMIAN BASIN SURGICAL ASSOC |
| Practice Address |
420 E 6th St Ste 104 Odessa TX 79761-4537 |
| Practice Telephone | 4323338400 |
| Practice Fax Number | 4323338401 |
| Mailing Telephone | 4323338400 |
| Mailing Fax Number | 4323338401 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2011-08-26 |
| Authorized Official Name | DR. STEVEN WADE FATH (OWNER/MD) |
| Authorized Official Telephone | 4323338400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | K8144 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 040430302 | 05 |
| Other Name | Type Code |
|---|---|
| Permian Basin Surgical Assoc | Doing Business As Name - Organization |
| Street Address |
420 E 6TH ST STE 104 |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982661542 | Steven Wade Fath | Surgery | 420 E 6th St Ste 104, Odessa, TX 79761-4537 | 2006-04-27 |
| 1518521400 | Interventional Partners, LLC | Podiatrist | 420 E 6th St Ste 104, Odessa, TX 79761-4537 | 2019-04-25 |
| 1205221017 | Jordan Womack | Podiatrist | 420 E 6th St Ste 104, Odessa, TX 79761 | 2015-03-30 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178832 | Sushruta Surgical Associates Pllc | Surgery | 420 E 6th St Ste 102, Odessa, TX 79761-4537 | 2019-11-07 |
| 1194873786 | Noel Feliciano Villanueva | Surgery | 850 Tower Dr Ste 111, Odessa, TX 79761-4252 | 2007-01-08 |
| 1982661542 | Steven Wade Fath | Surgery | 420 E 6th St Ste 104, Odessa, TX 79761-4537 | 2006-04-27 |
| 1417953589 | Robert Kevin Lynch | Surgery | 408 N Hancock Ave, Odessa, TX 79761-5140 | 2005-06-23 |
| 1982608964 | Donald D Davenport Jr. | Surgery | 540 W 5th St, Ste 470, Odessa, TX 79761-5070 | 2005-06-08 |
| 1134764673 | Women's Health Partners of The Permian Basin | Surgery | 617 N Tom Green Ave, Odessa, TX 79761-4525 | 2019-11-07 |
| 1710416375 | Archie Vernard Bowie II | Surgery | 701 W 5th St, Odessa, TX 79763-4206 | 2017-06-07 |
| 1659733301 | Paul Alan Fickey Jr. | Surgery | 800 W 4th St, Odessa, TX 79763-4368 | 2016-03-22 |
| 1417363268 | Michael Janice | Surgery | 408 N Hancock Ave, Odessa, TX 79761-5140 | 2014-07-01 |
| 1558799692 | Artun Aksade Md Pa | Surgery | 540 W 5th St Ste 470, Odessa, TX 79761-5070 | 2013-10-29 |
| Find all providers in ODESSA | ||||
Please comment or provide details below to improve the information on GUADALUPE VALLEY SURGICAL ASSOCIATES PA.
| 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.