DR. WILLIAM BLAKE KUTSCHE (NPI# 1215971189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215971189 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BLAKE KUTSCHE |
| Credential | M.D. |
| Practice Address |
2323 Texas St Pecos TX 79772-7338 |
| Practice Telephone | 4324473551 |
| Practice Fax Number | 4324475434 |
| Mailing Telephone | 4324473551 |
| Mailing Fax Number | 4324475434 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301062066 | MI | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
4301062066 | MI | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
4301062066 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| 03691540 | ECFMG | 01 | |
| MI | 4876600 | 05 | |
| MI | 4876421 | 05 |
| Street Address |
2323 TEXAS ST |
| City | PECOS |
| State | TX |
| Zip Code | 79772-7338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831170273 | Reeves County Hospital District | General Acute Care Hospital | 2323 Texas St, Pecos, TX 79772-7338 | 2005-11-11 |
| 1710531389 | Hallie Schnell | Nurse Practitioner | 2323 Texas St, Pecos, TX 79772-7338 | 2019-07-31 |
| 1770070500 | Barbara Abigide | Nurse Practitioner | 2323 Texas St, Pecos, TX 79772-7338 | 2018-04-17 |
| 1508382904 | Shellece Lowe | Nurse Practitioner | 2323 Texas St, Pecos, TX 79772-7338 | 2017-08-17 |
| 1508305442 | Reeves County Hospital District | Hospice Care, Community Based | 2323 Texas St, Pecos, TX 79772-7338 | 2017-02-13 |
| 1154869287 | Reeves County Hospital District | Home Health | 2323 Texas St, Pecos, TX 79772-7338 | 2017-02-09 |
| 1972975597 | Libra Emergency Physicians, Pllc | Emergency Medicine | 2323 Texas St, Pecos, TX 79772-7338 | 2015-10-22 |
| 1821422320 | Sandra Boafoa Anim | Clinical Nurse Specialist | 2323 Texas St, Pecos, TX 79772-7338 | 2013-09-03 |
| 1265871461 | Ruth-alma Turkson-ocran | Clinical Nurse Specialist | 2323 Texas St, Pecos, TX 79772-7338 | 2013-06-20 |
| 1194168211 | James M Tarin | Family Medicine | 2323 Texas St, Pecos, TX 79772 | 2013-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
| 1831704873 | Tarun Mundluru | Pecos Dental, 801 W 3rd St, Pecos, TX 79772 | 2020-09-15 | |
| 1962028902 | United Supermarkets, LLC | Pharmacy | 2783 S Cedar, Pecos, TX 79772 | 2020-06-24 |
| 1275053480 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2338 Texas St Ste B, Pecos, TX 79772 | 2017-06-20 |
| 1568597177 | Managed Care Pharmacy | Pharmacy | 721 S. Palm, Pecos, TX 79772 | 2007-02-22 |
| 1447417209 | Reeves County Hospital District | Internal Medicine | 200 Meadowbrook Drive, Pecos, TX 79772 | 2008-05-20 |
| 1225258486 | Pecos-barstow-toya Isd | Local Education Agency (LEA) | 1414 Washington St, Pecos, TX 79772-0869 | 2007-04-27 |
| 1033400932 | H K A Corporation | Durable Medical Equipment & Medical Supplies | 1010 S Eddy St Ste D, Pecos, TX 79772-2524 | 2011-04-26 |
| 1457349953 | H K A Corporation | Durable Medical Equipment & Medical Supplies | 1010 S Eddy St, Suite A, Pecos, TX 79772-2524 | 2005-10-10 |
| 1831190842 | Jay Bob Haney | Chiropractor | 1309 W 3rd St, Pecos, TX 79772-2826 | 2005-08-02 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154476687 | Diane A Evering-simms | Obstetrics & Gynecology | 200 Meadowbrook Dr, Pecos, TX 79772-6607 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677067 | Rodriguez Health, LLC | Obstetrics & Gynecology | 107 N Smith St Ste B, Pleasanton, TX 78064-4109 | 2020-10-17 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1891303673 | Serenity Women's Health Pllc | Obstetrics & Gynecology | 10907 Memorial Hermann Dr Ste 355, Pearland, TX 77584-4114 | 2020-07-17 |
| 1659994069 | Carolina A Andrade | Obstetrics & Gynecology | 945 S Mesa Hills Dr Apt 3515, El Paso, TX 79912-5157 | 2020-05-20 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1457972721 | Brynna Lynch | Obstetrics & Gynecology | 11212 State Highway 151 Ste 120, San Antonio, TX 78251-4498 | 2020-04-28 |
| 1952933913 | Gilbert G Sayegh Md, Pa | Obstetrics & Gynecology | 1004 Hobbs Hwy Ste 4, Seminole, TX 79360-3310 | 2020-02-07 |
| 1346880184 | Burke Womens Healthcare Pllc | Obstetrics & Gynecology | 4002 Burke Rd Ste 300, Pasadena, TX 77504-3451 | 2020-01-09 |
| 1386280337 | Women's Pavilion of Greater Houston | Obstetrics & Gynecology | 6051 Garth Rd Ste 700, Baytown, TX 77521-9807 | 2019-11-25 |
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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.