ODESSA REPRODUCTIVE MEDICINE CENTER (NPI# 1477828937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477828937 |
| Entity Type | Organization |
| Organization Name | ODESSA REPRODUCTIVE MEDICINE CENTER |
| Other Organization Name | MITWALLY FERTILITY CENTER |
| Practice Address |
420 E 6th St Ste 203 Odessa TX 79761-4572 |
| Mailing Address |
122 Candelaria Helotes TX 78023-4711 |
| Practice Telephone | 4325804500 |
| Practice Fax Number | 4322188804 |
| Mailing Telephone | 2487014157 |
| Mailing Fax Number | 4322188804 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | DR. MOHAMED MITWALLY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2487014157 |
| Authorized Official Credential | MD, HCLD, FACOG |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
P0765 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mitwally Fertility Center | Other Name - Individual/Organization |
| Street Address |
420 E 6TH ST STE 203 |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588149991 | Peds Center of Round Rock Pa | Pediatrics | 420 E 6th St Ste 203, Odessa, TX 79761-4572 | 2018-10-02 |
| 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 | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1184849846 | West Texas Reproductive Center | Obstetrics & Gynecology | 703 N Hancock Ave, Odessa, TX 79761-4524 | 2007-04-16 |
| 1578972352 | Advanced Fertility Centers,llc | Obstetrics & Gynecology | 605 E 4th St, Odessa, TX 79761-5100 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170791 | Theresa Manriquez | Obstetrics & Gynecology | 300 Beardsley Ln Ste 200, Austin, TX 78746-4945 | 2020-10-01 |
| 1134741556 | Fora Fertility, Pllc | Obstetrics & Gynecology | 2200 Pecos St, Austin, TX 78703-2124 | 2020-05-07 |
| 1073012407 | Eh Fertility, Pllc | Obstetrics & Gynecology | 16970 Dallas Pkwy Ste 500, Dallas, TX 75248-1983 | 2018-02-12 |
| 1497205397 | Smart Ivf, Pllc | Obstetrics & Gynecology | 5300 N Mccoll Rd Ste 200, Mcallen, TX 78504-3968 | 2016-10-04 |
| 1154663292 | Mckinney Fertility Center, LLC | Obstetrics & Gynecology | 5301 West University Drive, Mckinney, TX 75071 | 2013-03-26 |
| 1831436153 | Vasilios Theodoros Goudas | Obstetrics & Gynecology | 10901 Katy Freeway, Houston, TX 77079-3637 | 2013-01-07 |
| 1093078966 | Erika Munch | Obstetrics & Gynecology | 18707 Hardy Oak Blvd Ste 505, San Antonio, TX 78258-4891 | 2012-06-16 |
| 1720354038 | John Li-jon Wu | Obstetrics & Gynecology | 16415 Addison Rd, Addison, TX 75001 | 2012-03-30 |
| 1902067275 | James Leonard Nodler | Obstetrics & Gynecology | 929 Gessner Rd Ste 2300, Houston, TX 77024-2585 | 2008-06-19 |
| 1245408780 | Julian Camilo Escobar | Obstetrics & Gynecology | 6750 N Macarthur Blvd Ste 209, Irving, TX 75039-2473 | 2008-02-19 |
| 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.