RAVIKUMAR VEMURU (NPI# 1205949120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205949120 |
| Entity Type | Individual |
| Full Name | RAVIKUMAR VEMURU |
| Credential | M.D. |
| Practice Address |
315 E 5th St Odessa TX 79761-5133 |
| Practice Telephone | 4323333433 |
| Practice Fax Number | 4323333450 |
| Mailing Telephone | 4323333433 |
| Mailing Fax Number | 4323333450 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J5044 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080701802 | 05 | |
| TX | RAILROAD MEDICARE | 100012089 | 01 |
| TX | FIRSTCARE | 126089100 | 01 |
| NM | MEDICAID | U8947 | 01 |
| Street Address |
315 E 5TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629386784 | Odessa Endoscopy Center LLC | Clinic/Center | 315 E 5th St, Odessa, TX 79761-5133 | 2010-09-22 |
| 1295946259 | Permian Gastroenterology Associates LLP | Internal Medicine | 315 E 5th St, Odessa, TX 79761-5133 | 2007-05-24 |
| 1861608424 | Jason Roland Dominguez | Physician Assistant | 315 E 5th St, Odessa, TX 79761-5133 | 2007-05-14 |
| 1740397397 | Syam S Vemulapalli | Internal Medicine | 315 E 5th St, Odessa, TX 79761-5133 | 2006-08-23 |
| 1679686505 | Permian Endoscopy Center | Clinic/Center | 315 E 5th St, Odessa, TX 79761-5133 | 2006-08-16 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891900080 | West Texas Diabetes and Endocrine Center Pa | Specialist | 318 N Alleghaney Ave Ste 201, Odessa, TX 79761-5027 | 2007-05-11 |
| 1710109350 | Archuleta Family Ltd. | Specialist | 4241 Tanglewood Lane, Suite 102, Odessa, TX 79762 | 2007-05-03 |
| 1962625533 | Chappell Rosso Dermatology Pa | Specialist | 4040 Medical Park Dr, Odessa, TX 79765-2233 | 2007-04-11 |
| 1962520049 | Odessa Surgical Associates Pa | Specialist | 4222 Wendover Ave Ste 800, Odessa, TX 79762-5915 | 2007-03-27 |
| 1902922743 | Thomas C Turner, Md | Specialist | 848 Central Dr, Odessa, TX 79761-4202 | 2007-03-22 |
| 1548312390 | Abdul Kadir | Specialist | 519 Golder Ave, Odessa, TX 79761-4411 | 2007-01-18 |
| 1780771675 | Steven Ellsworth | Specialist | 5000 E University Blvd Ste 6, Odessa, TX 79762-8149 | 2006-10-10 |
| 1417040171 | Donald O Naylor | Specialist | 500 N. Washington, Suite 300, Odessa, TX 79761 | 2006-10-02 |
| 1114987898 | Dawn Cockrell Lm Cpm | Specialist | 3602 Scr 1309, Odessa, TX 79765-9656 | 2006-03-25 |
| 1467441428 | Fernando Boccalandro | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-20 |
| 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.