SAMATA KONA (NPI# 1548287493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548287493 |
| Entity Type | Individual |
| Full Name | SAMATA KONA |
| Practice Address |
840 W Clements St Odessa TX 79763-4601 |
| Mailing Address |
Po Box 2129 Odessa TX 79760-2129 |
| Practice Telephone | 4326408870 |
| Practice Fax Number | 4326404003 |
| Mailing Telephone | 4326408870 |
| Mailing Fax Number | 4326404003 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30691 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
21947 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2499425 | 05 |
| Street Address |
840 W CLEMENTS ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79763-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750345088 | Ector County Hospital District | Clinic/Center | 840 W Clements St, Odessa, TX 79763-4601 | 2006-04-13 |
| 1114404209 | Suzanne Cearley | Nurse Practitioner | 840 W Clements St, Odessa, TX 79763-4601 | 2018-07-23 |
| 1962916668 | Karina L Rubio | Physician Assistant | 840 W Clements St, Odessa, TX 79763-4601 | 2017-11-17 |
| 1699155606 | Adelina M Saldivar | Nurse Practitioner | 840 W Clements St, Odessa, TX 79763-4601 | 2015-06-04 |
| 1447674858 | Atul Poudel | Pediatrics | 840 W Clements St, Odessa, TX 79763-4601 | 2014-02-06 |
| 1174831366 | Ector County Hosptial | Clinic/Center | 840 W Clements St, Odessa, TX 79763-4601 | 2010-09-22 |
| 1083775068 | Niempa B Bacani | Nurse Practitioner | 840 W Clements St, Odessa, TX 79763 | 2006-12-13 |
| 1891856944 | Robert W Stanaland | Dentist | 840 W Clements St, Odessa, TX 79763 | 2006-12-13 |
| 1396806469 | Margaret E Demarco | Nurse Practitioner | 840 W Clements St, Odessa, TX 79763 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
| Find all providers in zip 79763 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427619238 | Benjamin Bennett Waites | Dentist | 4901 E 42nd St Ste B, Odessa, TX 79762-7338 | 2019-06-23 |
| 1619443736 | Abbeville Dentistry - Odessa East, Pllc | Dentist | 2499 E 11th St, Odessa, TX 79761-4232 | 2018-10-16 |
| 1124535885 | Anisha Patel | Dentist | 6909 Arabian Rd, Odessa, FL 33556-1825 | 2018-01-03 |
| 1346759487 | Andes Dental Pllc | Dentist | 1157 E 42nd St Ste A, Odessa, TX 79762-7723 | 2017-09-20 |
| 1629592217 | Quyen Tran | Dentist | 2260 Linda Ave Ste 103, Odessa, TX 79763-2665 | 2017-07-26 |
| 1861920886 | Constance Schreck | Dentist | 2631 Faudree Rd Ste B, Odessa, TX 79765-8530 | 2017-06-03 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1285011882 | Precious Smiles Dentistry, PC | Dentist | 2713 N Grandview Ave, Odessa, TX 79762-6952 | 2015-05-04 |
| 1821494121 | Robert Meek | Dentist | 7331 Eastridge Rd, Odessa, TX 79765-8903 | 2014-11-13 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| 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.