UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS (NPI# 1588804496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588804496 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Other Organization Name | UTSW CARDIOTHORACIC SURGEONS |
| Practice Address |
520 E 6th St Odessa TX 79761-4527 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146450624 |
| Mailing Telephone | 2146450264 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | BRUCE A. MEYER (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 2146450624 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UTSW Cardiothoracic Surgeons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659881423 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 600 S Main St Ste 1.102, Fort Worth, TX 76104-2410 | 2017-10-06 |
| 1992169395 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 400 W Magnolia Ave Ste 2500, Fort Worth, TX 76104-7617 | 2016-04-12 |
| 1558759316 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 6201 Harry Hines Blvd Suite 01.117, Dallas, TX 75390-0001 | 2015-01-02 |
| 1760628978 | University of Texas Southwestern Medical Center At Dallas | General Acute Care Hospital | Out Patient Building 6th Floor 1801 Inwood Rd, Dallas, TX 75390-0001 | 2008-12-18 |
| 1043418205 | University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 6011 Harry Hines Blvd, Dallas, TX 75235 | 2007-07-10 |
| 1811039381 | University of Texas Southwestern Medical Center At Dallas | Radiology | 7609 Preston Rd, Plano, TX 75024-3214 | 2007-02-13 |
| 1417010653 | University of Texas Southwestern Medical Center At Dallas | General Acute Care Hospital | 5151 Harry Hines Boulevard, Dallas, TX 75390-9000 | 2006-12-19 |
| 1659434801 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 5303 Harry Hines Boulevard, Suite 100 James W Aston Ambulatory Care Center, Dallas, TX 75390-8862 | 2006-12-19 |
| 1598789984 | University of Texas Southwestern Medical Center At Dallas | Ophthalmology | 7601 Preston Rd, Plano, TX 75024 | 2006-07-27 |
| 1518984988 | University of Texas Southwestern Medical Center At Dallas | Obstetrics & Gynecology | 7800 Preston Road, Suite 300, Plano, TX 75024 | 2006-07-16 |
| Street Address |
520 E 6TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959089 | Permian Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2005-08-19 |
| 1114557675 | Christi Hill | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-23 |
| 1477183317 | Bradley Boyd Massey | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-20 |
| 1780224329 | Reid E Ivy | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-12 |
| 1275171423 | Kailani Alana Lee Decock | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-12-18 |
| 1528617552 | Liberty Dawn Mitchell | Licensed Vocational Nurse | 520 E 6th St, Odessa, TX 79761-4527 | 2019-09-11 |
| 1538714076 | Stephanie Renee' Powell | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-08-01 |
| 1285299131 | Permian Premier Health Services Inc | Contractor | 520 E 6th St, Odessa, TX 79761-4527 | 2019-05-07 |
| 1811460330 | Stefanie Hughes | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2019-01-08 |
| 1497240592 | Bienvenido Buaquen Baquirin | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2018-06-30 |
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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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033447065 | Alan C Leshnower Md, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1220 W University Blvd, Odessa, TX 79764-7118 | 2009-12-02 |
| 1801908942 | Alan C Leshnower | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1220 W University Blvd, Odessa, TX 79764-7118 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915894 | Branislav Stojkovic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6431 Fannin St Ste Jjl S-86, Houston, TX 77030-1501 | 2020-09-08 |
| 1093349946 | Lawrence R Hamner IIi Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Jimmy Johnson Blvd Ste 207, Port Arthur, TX 77640-2011 | 2020-03-01 |
| 1275173379 | Houston Cardiothoracic and Vein Surgeons, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 St Joseph Pkwy Ste 1005, Houston, TX 77002-8205 | 2020-01-07 |
| 1861962003 | Brownsville Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 E Alton Gloor Blvd Bldg B, Brownsville, TX 78526-3328 | 2018-11-30 |
| 1326523077 | Southeast Texas Cardiac LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Fm 1960 Bypass Rd W Ste 303, Humble, TX 77338-4019 | 2018-09-28 |
| 1982119061 | Elite Heart, Lung, and Vein Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2406 Ellis Park Ln, Conroe, TX 77304-2938 | 2017-12-11 |
| 1376076869 | Kitten Cardiovascular Associates Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118 Shenandoah Drive, Suite A, Shenandoah, TX 77381-1203 | 2017-04-11 |
| 1003360116 | William E Wallace Do | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6007 Hillbrook Dr, Colleyville, TX 76034-5323 | 2016-08-05 |
| 1104284959 | Lm Duvall Enterprises | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41922 N Mill Dr, Magnolia, TX 77354-1850 | 2016-02-08 |
| 1457734618 | John Kirchmer Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2195 Thomas Rd, Beaumont, TX 77706-2837 | 2015-07-07 |
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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.