COMPASS PEDIATRICS, PLLC (NPI# 1306152103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306152103 |
| Entity Type | Organization |
| Organization Name | COMPASS PEDIATRICS, PLLC |
| Practice Address |
6100 Eastridge Rd Odessa TX 79762-5002 |
| Practice Telephone | 4323322080 |
| Practice Fax Number | 8662987237 |
| Mailing Telephone | 4323322080 |
| Mailing Fax Number | 8662987237 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2014-04-01 |
| Authorized Official Name | DR. TAMARA RACHELLE BAVOUSETT (NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 4323322080 |
| Authorized Official Credential | DNP, RN, C-PNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
657564 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 214730801 | 05 |
| Street Address |
6100 EASTRIDGE RD |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104950658 | Carl D Brown | Psychiatry & Neurology | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2007-03-15 |
| 1952969529 | Veronica Aguilar | Nurse Practitioner | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2019-05-30 |
| 1114456449 | Atanacio Gomez | Family Medicine | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2017-06-09 |
| 1558801191 | Jaci Rich | Nurse Practitioner | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2017-03-01 |
| 1174068480 | Patricia Stoltz | Clinical Nurse Specialist | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2016-12-21 |
| 1427272749 | Tamara Rachelle Bavousett | Nurse Practitioner | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598144982 | Odessa Eye Care LLC | Clinic/Center | 201 N 2nd St Ste C, Odessa, MO 64076-1393 | 2015-05-19 |
| 1003251489 | John H. Doran,m.d., P.l.lc. | Clinic/Center | 700 Dotsy Ave, Odessa, TX 79763-4238 | 2013-04-30 |
| 1841380615 | Jose B. Benigno Medical Clinic, P.a. | Clinic/Center | 115 W 42nd St, Odessa, TX 79764-4001 | 2006-10-13 |
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| 1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
| 1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
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| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.