PREMIER FAMILY CARE I, INC. (NPI# 1124218847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124218847 |
| Entity Type | Organization |
| Organization Name | PREMIER FAMILY CARE I, INC. |
| Practice Address |
1900 W. Wall Suite A Midland TX 79701-6534 |
| Mailing Address |
2501 W. Illinois Suite C Midland TX 79701-6433 |
| Practice Telephone | 4324982900 |
| Practice Fax Number | 4324982990 |
| Mailing Telephone | 4326866600 |
| Mailing Fax Number | 4326822284 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2012-11-14 |
| Authorized Official Name | LEAH BEJIL (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4326866605 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID EPSDT# | 018061401 | 01 |
| Street Address |
1900 W. WALL SUITE A |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-6534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315587 | Mia Centauri Marshall | Pediatrics | 4214 Andrews Hwy Fl 6, Midland, TX 79703-4822 | 2017-06-06 |
| 1548556228 | Celecia Byfield | Pediatrics | 2500 Delano Ave Fl 1, Midland, TX 79701-6357 | 2011-06-21 |
| 1841594165 | Sudhi Agrawal | Pediatrics | 4475 Hackberry Ct, Midland, TX 79707-1614 | 2010-12-29 |
| 1174783641 | Barbara Jean Wood | Pediatrics | 3415 Caldera Blvd, Midland, TX 79707-2825 | 2008-06-09 |
| 1346416542 | Wf Ballesteros Md | Pediatrics | 3901 Fairwood Ct, Midland, TX 79707-1428 | 2008-05-07 |
| 1043484934 | Adam John Hamilton | Pediatrics | 4401 Campus Ridge Dr Ste 2000, Midland, MI 48640-6125 | 2008-04-22 |
| 1427239078 | W Ballesteros Ltd LLP | Pediatrics | 5304 Castle Pine Rd, Midland, TX 79707-3204 | 2007-11-23 |
| 1093928913 | Chandan Mazumder | Pediatrics | 1900 W Wall St Ste C, Midland, TX 79701-6568 | 2007-05-07 |
| 1194813709 | Tareq Hulali | Pediatrics | 3421 Caldera Blvd, Midland, TX 79707-2825 | 2006-10-10 |
| 1730118415 | Gupta and Gupta Pediatrics Md Pa | Pediatrics | 302 Secor St, Midland, TX 79701-6343 | 2006-07-03 |
| 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.