VINH NGUYEN, MD, PA (NPI# 1477874790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477874790 |
| Entity Type | Organization |
| Organization Name | VINH NGUYEN, MD, PA |
| Practice Address |
420 E 6th St Suite 200 Odessa TX 79761-4529 |
| Mailing Address |
6915 Stonehenge Rd Odessa TX 79765-8924 |
| Practice Telephone | 4325828998 |
| Practice Fax Number | 4325828997 |
| Mailing Telephone | 4323492891 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | DR. VINH H NGUYEN (PRESIDENT) |
| Authorized Official Telephone | 4323492891 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | L3770 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 160635208 | 05 | |
| TX | PA MEDICAID THSTEPS | 212367102 | 01 |
| TX | NPI TYPE 1 ENTITY | 1952308934 | 01 |
| TX | PA MEDICAID | 212367101 | 01 |
| Street Address |
420 E 6TH ST SUITE 200 |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308934 | Vinh H. Nguyen | Internal Medicine | 420 E 6th St, Suite 200, Odessa, TX 79761-4529 | 2005-07-05 |
| 1356714406 | Elena Krendelshchikova | Nurse Practitioner | 420 E 6th St, Suite 107, Odessa, TX 79761-4529 | 2015-11-10 |
| 1609274034 | Mary Elise Seigler | Nurse Practitioner | 420 E 6th St, Suite 202, Odessa, TX 79761-4529 | 2014-12-17 |
| 1992127195 | Arrhythmia Consultants of Texas Pa | Internal Medicine | 420 E 6th St, Suite 201b, Odessa, TX 79761-4529 | 2014-01-08 |
| 1376729004 | Odessa Consultants, LLC | Clinic/Center | 420 E 6th St, Suite 107, Odessa, TX 79761-4529 | 2008-01-11 |
| 1285794289 | Ram Kolluru,m.d.pa | Internal Medicine | 420 E 6th St, Ste 102, Odessa, TX 79761-4529 | 2006-12-11 |
| 1174532386 | Anjaiah Kodityal | Internal Medicine | 420 E 6th St, Suite 205, Odessa, TX 79761-4529 | 2006-08-05 |
| 1275572679 | Nancy L Eriksen | Obstetrics & Gynecology | 420 E 6th St, Suite 202, Odessa, TX 79761-4529 | 2006-06-04 |
| 1699743187 | Madhu Pamganamamula | Internal Medicine | 420 E 6th St, Suite 107, Odessa, TX 79761-4529 | 2006-03-09 |
| 1538130653 | Joseph Bottalico | Obstetrics & Gynecology | 420 E 6th St, Suite 202, Odessa, TX 79761-4529 | 2006-01-27 |
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| 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 | 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 |
|---|---|---|---|---|
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1487173357 | Manisha Desai | Pediatrics | 400 East 6th Street Ste 100, Odessa, TX 79761-6947 | 2017-09-12 |
| 1982806436 | Arpita Vyas | Pediatrics | 701 W 5th St Ste 2106, Odessa, TX 79763-4206 | 2007-06-05 |
| 1982732178 | Kingsley C Okonkwo | Pediatrics | 2461 E 11th St Ste A, Odessa, TX 79761 | 2007-03-01 |
| 1932244936 | Rajani Reddy | Pediatrics | 611 North Golder, Odessa, TX 79761 | 2007-02-20 |
| 1417030693 | Migdalia Monzon | Pediatrics | 850 Tower Drive, Suite 106, Odessa, TX 79761 | 2006-10-23 |
| 1063428647 | Manisha Mahadev Desai | Pediatrics | 29 Dolores Ct, Odessa, TX 79765-8544 | 2006-08-01 |
| 1508881467 | Melody N Baade | Pediatrics | 1850 Crossings Blvd Unit 100, Odessa, FL 33556-6106 | 2006-07-13 |
| 1841292976 | Violeta F Bello | Pediatrics | 303 E 7th St, Odessa, TX 79761 | 2005-06-01 |
| 1588149991 | Peds Center of Round Rock Pa | Pediatrics | 420 E 6th St Ste 203, Odessa, TX 79761-4572 | 2018-10-02 |
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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.