WEST TEXAS MEDICAL ASSOCIATES (NPI# 1144485756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144485756 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS MEDICAL ASSOCIATES |
| Practice Address |
3605 Executive Dr San Angelo TX 76904 |
| Mailing Address |
3605 Executive Dr San Angelo TX 76904-6884 |
| Practice Telephone | 3259499555 |
| Mailing Telephone | 3259499555 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | TOMMY MCMAHON (ADMINISTRATOR) |
| Authorized Official Telephone | 3259499555 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST TEXAS MEDICAL ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 135031606 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3555 Knickerbocker Rd, San Angelo, TX 769047610 | 3259499555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750544367 | West Texas Medical Associates | Nurse Anesthetist, Certified Registered | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-03 |
| 1114133634 | West Texas Medical Associates | Durable Medical Equipment & Medical Supplies | 3605 Executive Dr, San Angelo, TX 76904 | 2007-05-14 |
| 1457339525 | West Texas Medical Associates | Internal Medicine | 3605 Executive Dr, San Angelo, TX 76904 | 2006-01-09 |
| Street Address |
3605 EXECUTIVE DR |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716264 | San Angelo Ambulatory Surgery Center | Clinic/Center | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2005-11-08 |
| 1497233134 | Brittney Hughes | Specialist/Technologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2018-08-03 |
| 1275954232 | Michael Matthews | Physician Assistant | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2013-12-18 |
| 1326384553 | Soheil Daftarian | Ophthalmology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-12-16 |
| 1134463300 | Melissa Mcarthur | Audiologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-11-12 |
| 1134472509 | Kayla Joy Gibbs | Nurse Practitioner | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-10-22 |
| 1124383567 | Michael Keesey Boyd | Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-07-11 |
| 1790065936 | Jessie Hoak | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2011-08-19 |
| 1427297506 | Jennifer D Slaven | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2009-02-12 |
| 1750544367 | West Texas Medical Associates | Nurse Anesthetist, Certified Registered | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| 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 |
|---|---|---|---|---|
| 1932199502 | Robert D Schultz | Pediatrics | 225 E Beauregard Ave, San Angelo, TX 76903-5920 | 2005-10-25 |
| 1942202791 | Bill Franklin Sorrels | Pediatrics | 12 East Twohig, Ste 200, San Angelo, TX 76903-6433 | 2005-08-11 |
| 1073990313 | Sara Elizabeth Halfmann | Pediatrics | 3555 Knickerbocker Rd, San Angelo, TX 76904 | 2015-05-06 |
| 1750659603 | Angelo Behavior Center, LLP | Pediatrics | 12 E Twohig Ave, Suite 201, San Angelo, TX 76903-6433 | 2011-12-07 |
| 1003121245 | Alejandra C Ayestaran Cassani | Pediatrics | 2141 Hamilton Way, Ste 100, San Angelo, TX 76904-6831 | 2010-08-12 |
| 1528372315 | Emir Campanini | Pediatrics | 2141 Hamilton Way, Ste 100, San Angelo, TX 76904-6831 | 2010-08-04 |
| 1508184771 | Stacey L Manion | Pediatrics | 225 E Beauregard Ave, San Angelo, TX 76903-5920 | 2010-05-12 |
| 1518283084 | Allison J Walker | Pediatrics | 225 E Beauregard Ave, San Angelo, TX 76903-5920 | 2010-04-08 |
| 1912234345 | Caryn Denise Krenek | Pediatrics | 2033 W Beauregard Ave, San Angelo, TX 76901-3883 | 2009-11-05 |
| 1629246731 | Srikanth Podaralla | Pediatrics | 225 E Beauregard Ave, San Angelo, TX 76903-5920 | 2008-02-12 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.