DR. ERIC J VENEGAS (NPI# 1760485502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760485502 |
| Entity Type | Individual |
| Full Name | DR. ERIC J VENEGAS |
| Credential | M.D |
| Practice Address |
5007 Portico Way Midland TX 79707 |
| Mailing Address |
Po Box 80969 Midland TX 79708-0969 |
| Practice Telephone | 4325701113 |
| Practice Fax Number | 4325704260 |
| Mailing Telephone | 4325701113 |
| Mailing Fax Number | 4325704260 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-06-19 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | K7934 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 144105701 | 05 | |
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 0052GV | 01 |
| TX | FIRSTCARE | TH003 | 01 |
| Street Address |
5007 PORTICO WAY |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043795313 | Veronica Navarrete | Nurse Practitioner | 5007 Portico Way, Midland, TX 79707-3102 | 2018-10-02 |
| 1023555224 | Natalie Nicole Gould | Nurse Practitioner | 5007 Portico Way, Midland, TX 79707-3102 | 2017-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447797014 | Dickerson Dallas Pain On Pa | Specialist | 4311 Andrews Hwy, Midland, TX 79703 | 2017-01-20 |
| 1275944886 | Suzanne Marie Barbu | Specialist | 3609 E Monroe Rd, Midland, MI 48642-8835 | 2014-05-16 |
| 1760635874 | Douglas S. Park M.d. Pa | Specialist | 705 W. Wadley, Midland, TX 79705-5373 | 2008-11-03 |
| 1356559041 | Midmichigan Cardiology | Specialist | 111 E Wackerly St, Suite D, Midland, MI 48642-7001 | 2007-05-18 |
| 1417172933 | Harshad G Shah Md Pa Eye Institute | Specialist | 4214 Andrews Hwy Ste 105, Midland, TX 79703-4813 | 2007-04-17 |
| 1669507349 | John R. Howlett Jr. | Specialist | 1002 W Wall St, Midland, TX 79701-6638 | 2007-02-22 |
| 1508936840 | Thomas Charles Turner | Specialist | 805 W Wadley Ave, Midland, TX 79705-6557 | 2006-11-08 |
| 1326145541 | Vikram N Patel, Md Pa | Specialist | 2407 W Louisiana Ave Ste 104, Midland, TX 79701-5826 | 2006-09-20 |
| 1831294446 | Wilbur George Lineback Jr. | Specialist | 2104 W Michigan Ave, Midland, TX 79701-5928 | 2006-09-14 |
| 1699882639 | Lori D. Adcock | Specialist | 303 Veterans Airpark Ln, Suite 4109, Midland, TX 79705-0000 | 2006-08-24 |
| Find all providers in MIDLAND | ||||
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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.