SHANTHI THANGAM, MD PA (NPI# 1134473382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134473382 |
| Entity Type | Organization |
| Organization Name | SHANTHI THANGAM, MD PA |
| Practice Address |
419 N Jackson Ave Odessa TX 79761-5124 |
| Practice Telephone | 4323379000 |
| Practice Fax Number | 4323372545 |
| Mailing Telephone | 4323379000 |
| Mailing Fax Number | 4323372545 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | SHANTHI THANGAM (CEO) |
| Authorized Official Telephone | 4323379000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
K7111 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
419 N JACKSON AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659708881 | Brenda Huckaby Creear | Counselor | 419 N Jackson Ave, Odessa, TX 79761-5124 | 2013-10-02 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366623803 | Roddy Strobel Mdpa | Psychiatry & Neurology | 3300 S. Fm 1788, Suite 403, Odessa, TX 79706 | 2007-11-26 |
| 1073614624 | Permian Basin Community Centers for Mhmr | Psychiatry & Neurology | 1111 W 12th Street, Odessa, TX 79763 | 2006-09-26 |
| 1447352273 | Cheryl Ann Hollingsworth | Psychiatry & Neurology | 1111 W 12th St, Odessa, TX 79763-3596 | 2006-09-02 |
| 1265546378 | Lionel Levison | Psychiatry & Neurology | 4692 E University Blvd Ste 104, Odessa, TX 79762-6100 | 2006-08-18 |
| 1235157272 | Jose Francisco Del Moral | Psychiatry & Neurology | 4241 Tanglewood Ste 201, Odessa, TX 79762-5923 | 2006-07-17 |
| 1386621977 | Ravi Medi | Psychiatry & Neurology | 2626 Jbs Parkway Ste C 129, Odessa, TX 79761 | 2005-12-27 |
| 1215922802 | Shailesh Jain | Psychiatry & Neurology | 701 W 5th St Ste 2207, Odessa, TX 79763-4206 | 2005-09-20 |
| 1811555766 | Raafae Syed Agha | Psychiatry & Neurology | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-04 |
| 1639335607 | Mohammad K Chowdhury | Psychiatry & Neurology | 1278 W Us Highway 40, Odessa, MO 64076-9612 | 2008-07-30 |
| 1235286535 | Ravi Medi | Psychiatry & Neurology | 2626 John Ben Shepperd Pkwy, C-129, Odessa, TX 79761-1958 | 2007-01-05 |
| 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.