MIDESSA INTEGRATIVE MEDICINE (NPI# 1124586862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124586862 |
| Entity Type | Organization |
| Organization Name | MIDESSA INTEGRATIVE MEDICINE |
| Practice Address |
4311 Andrew Hwy B Midland TX 79703-4823 |
| Mailing Address |
4311 Andrews Hwy # B Midland TX 79703-4823 |
| Practice Telephone | 8779357916 |
| Mailing Telephone | 8779357916 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | MICHAEL JOSEPH PEREZ (OWNER) |
| Authorized Official Telephone | 8779357916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4311 ANDREW HWY B |
| City | MIDLAND |
| State | TX |
| Zip Code | 79703-4823 |
| 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 | 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 |
|---|---|---|---|---|
| 1558857177 | Midland Ambulatory Surgery Center, LLC | Internal Medicine | 2106 N Midland Dr Ste 100, Midland, TX 79707-5503 | 2018-07-06 |
| 1932541406 | Madhavi Gadiraju | Internal Medicine | 2402 W Wall St Ste 2, Midland, TX 79701-6316 | 2013-07-24 |
| 1346541943 | Stephen L Wiesenfeld | Internal Medicine | 3102 Shell Ave, Midland, TX 79705-8237 | 2010-11-12 |
| 1689989238 | Sentinel Medical Group Pllc | Internal Medicine | 4706 Greentree Blvd, Midland, TX 79707-1610 | 2010-08-06 |
| 1306167309 | Maung K Hlaing | Internal Medicine | 4805 Briarwood Ave, Apt E 206, Midland, TX 79707-2625 | 2010-06-14 |
| 1073833075 | Phillip Hyunsuk Chae | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 100, Craddick Medical Office Bldg., Midland, TX 79701-5849 | 2010-06-02 |
| 1306162557 | Leela Kumar Lella | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2010-04-13 |
| 1497985188 | Vikram Reddy Vadyala | Internal Medicine | 2817 W Loop 250 N Ste A, Midland, TX 79705-3205 | 2009-07-16 |
| 1295969699 | Ramakrishna Thokala | Internal Medicine | 3302 W Golf Course Rd Ste 100, Midland, TX 79703 | 2009-05-13 |
| 1154504025 | Padmaja M Patel Mdpa | Internal Medicine | 3001 W Illinois Ave Ste 2b2, Midland, TX 79701-3113 | 2007-12-13 |
| 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.