WEST TEXAS NEUROSURGERY PA


Address: 8050 E Highway 191, Suite 212, Odessa, TX 79765-8613
Phone: 4325804700

WEST TEXAS NEUROSURGERY PA (NPI# 1760511315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760511315
Entity Type Organization
Organization Name WEST TEXAS NEUROSURGERY PA
Practice Address 8050 E Highway 191
Suite 212
Odessa
TX 79765-8613
Practice Telephone 4325804700
Practice Fax Number 4323322678
Mailing Telephone 4325804700
Mailing Fax Number 4323322678
Enumeration Date 2007-03-02
Last Update Date 2015-02-26
Authorized Official Name JOHN K DORMAN (PRESIDENT/OWNER)
Authorized Official Telephone 4325804700
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery L4342 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS INDIVIDUAL NUMBER 8AJ418 01
TX TEXAS LICENSE L4342 01
TX BCBS GROUP NUMBER 0004QF 01
TX 165059001 05
TX 166114201 05

Office Location

Street Address 8050 E HIGHWAY 191
SUITE 212
City ODESSA
State TX
Zip Code 79765-8613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043215932 Augusto C Sepulveda Internal Medicine 8050 E Highway 191, Suite 200, Odessa, TX 79765-8613 2005-06-16
1063962355 Emily Denise Gully Nurse Practitioner 8050 E Highway 191, Suite 212, Odessa, TX 79765-8613 2016-10-11
1134585532 Catherine Eaton Nurse Practitioner 8050 E Highway 191, Odessa, TX 79765-8613 2016-01-14
1144696436 Kacee Dunavan Nurse Practitioner 8050 E Highway 191, Odessa, TX 79765-8613 2015-08-20
1518350438 Cynthia Wall, Psyd, Pllc Psychologist 8050 E Highway 191, Suite 206, Odessa, TX 79765-8613 2015-03-17
1063859189 Jorge G. Alamo Family Medicine 8050 E Highway 191, Suite 104, Odessa, TX 79765-8613 2013-05-30
1770750440 Mch Professional Care Orthopedics Orthopaedic Surgery 8050 E Highway 191, Suite 104a, Odessa, TX 79765-8607 2008-05-13
1093987885 Sam Eun Kim Internal Medicine 8050 E Highway 191, Ste 200, Odessa, TX 79765-8613 2008-04-01
1093935975 Alim Mirza Ladha Neurological Surgery 8050 E Highway 191, Ste 203, Odessa, TX 79765-8615 2007-04-26
1356416887 Daniel John O'hearn Internal Medicine 8050 E Highway 191, Suite 200, Odessa, TX 79765-8607 2006-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699982827 James Joseph Kloer Dentist 301 S. E. Loop 338, Odessa, TX 79765 2007-05-17
1417170036 Jeremy A. Denman, D.d.s., P.C. Dentist 8151 Dorado Dr., Odessa, TX 79765 2007-04-11
1992834261 Hillary Elizabeth Brunner Podiatrist 2903 Billy Hext Road, Odessa, TX 79765 2007-03-05
1710032388 Jennifer Douglas Speech-Language Pathologist 7009 Stonehenge Rd, Odessa, TX 79765 2007-01-24
1558319384 Eyes of Texas, LLP Ophthalmology 3527 B1 Billy Hext Road, Odessa, TX 79765 2006-05-04
1740283019 Kris Howard Dermatology 8141 Dorado Drive, Odessa, TX 79765 2005-05-31
1962743203 Basin Podiatry P A Podiatrist 2903 Billy Hext Road, Odessa, TX 79765 2013-03-12
1114540986 Jaida Thompson Licensed Practical Nurse 9100 Andrews Hwy Apt 517, Odessa, TX 79765-1324 2020-05-27
1780297200 Evithner Mendoza Ruiz Registered Nurse 9100 Andrews Hwy, Odessa, TX 79765-1337 2020-08-25
1588931984 Sanket Patel Pharmacist 9212 Lamar Ave, Odessa, TX 79765-1452 2011-11-30
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063933570 Southwest Texas Neurosurgical Associates Pa Neurological Surgery 8050 E Highway 191 Ste 212, Odessa, TX 79765-8615 2017-07-06
1639433915 Macaulay Ezera Nwojo Neurological Surgery 8050 E Highway 191 Ste 250, Odessa, TX 79765-8613 2012-07-01
1215030333 John Kyle Dorman Neurological Surgery 540 W 5th St Ste 320, Odessa, TX 79761-5002 2006-09-06
1043242308 Thomas D Meek Neurological Surgery 511 N Alleghaney Ave, Odessa, TX 79761-4405 2006-07-07
1114565025 Macaulay E Nwojo Md Pllc Neurological Surgery 8050 E Highway 191 Ste 250, Odessa, TX 79765-8613 2019-12-11
1386976447 Thomas D. Meek, M.d. P.a. Neurological Surgery 511 N Alleghaney Ave, Odessa, TX 79761-4405 2010-01-31
1093935975 Alim Mirza Ladha Neurological Surgery 8050 E Highway 191, Ste 203, Odessa, TX 79765-8615 2007-04-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447869003 Scott B Phillips Pllc Neurological Surgery 1303 Mccullough Ave Ste 166, San Antonio, TX 78212-5603 2020-07-29
1710595996 Laredo Surgical Center Neurological Surgery 10410 Medical Loop Bldg 4a, Laredo, TX 78045-6672 2020-07-14
1710506803 Houston Texas Neurosurgical Institute. Pllc Neurological Surgery 925 Gessner Rd Ste 500, Houston, TX 77024-2644 2020-04-09
1760046080 Adam Franklin Carlton Neurological Surgery 301 University Blvd # Mr 0517, Galveston, TX 77555-0517 2019-04-23
1235698911 South Texas Neurosurgery Associates Neurological Surgery 3475 W Alton Gloor Blvd Ste A, Brownsville, TX 78520 2019-03-13
1376009951 Dallas Center for Neuro and Spine Excellence LLP Neurological Surgery 4013 Centenary Ave, Dallas, TX 75225-5430 2019-02-19
1679040414 Advances Istitute for Joint and Spine Disorders Neurological Surgery 6160 Windhaven Pkwy Ste 200, Plano, TX 75093-2138 2018-10-30
1891270989 Alma Diana Garza Neurological Surgery 1139 E Sonterra Blvd Ste 301, San Antonio, TX 78258-4348 2018-09-25
1861975922 Neurosurgical Group of Texas, LLP Neurological Surgery 8731 Katy Fwy Ste 325, Houston, TX 77024-1703 2018-09-13
1508347998 William T Mccullough Md Pa Neurological Surgery 1101 Raintree Cir Ste 12o, Allen, TX 75013-4922 2018-08-24
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Competitor

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City ODESSA
Zip Code 79765

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Dataset Information

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.

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