MCH PROFESSIONAL CARE ORTHOPEDICS (NPI# 1770750440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770750440 |
| Entity Type | Organization |
| Organization Name | MCH PROFESSIONAL CARE ORTHOPEDICS |
| Other Organization Name | MCH PROFESSION CARE ORTHOPEDICS |
| Practice Address |
8050 E Highway 191 Suite 104a Odessa TX 79765-8607 |
| Practice Telephone | 4326406446 |
| Practice Fax Number | 4326406491 |
| Mailing Telephone | 4326406446 |
| Mailing Fax Number | 4326406491 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | DEBBY Q MIRELES (PROVIDER RELATIONS MANAGER) |
| Authorized Official Telephone | 4326402408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | M9369 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0093RH | 01 |
| TX | LICENSE | M9369 | 01 |
| Other Name | Type Code |
|---|---|
| MCH PROFESSION CARE ORTHOPEDICS | Doing Business As Name - Organization |
| Street Address |
8050 E HIGHWAY 191 SUITE 104A |
| City | ODESSA |
| State | TX |
| Zip Code | 79765-8607 |
| 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 |
| 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 |
| 1760511315 | West Texas Neurosurgery Pa | Neurological Surgery | 8050 E Highway 191, Suite 212, Odessa, TX 79765-8613 | 2007-03-02 |
| 1356416887 | Daniel John O'hearn | Internal Medicine | 8050 E Highway 191, Suite 200, Odessa, TX 79765-8607 | 2006-11-21 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 79765 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306072681 | Hugo Adam Keim | Orthopaedic Surgery | 16101 Carencia Ln, Odessa, FL 33556-3278 | 2009-06-01 |
| 1457485666 | Spine & Sportsmedicine Specialists | Orthopaedic Surgery | 17327 Ballmont Park Dr, Odessa, FL 33556-6209 | 2007-03-16 |
| 1164432746 | Basin Orthopedic Surgical Specialists, P.a. | Orthopaedic Surgery | 1340 E 7th St, Odessa, TX 79761-4724 | 2006-08-08 |
| 1831164870 | James Billys | Orthopaedic Surgery | 2040 Short Ave, Odessa, FL 33556-3445 | 2006-02-22 |
| 1568452084 | Benjamin John Cunningham | Orthopaedic Surgery | 600 N Grant Ave, Suite 200, Odessa, TX 79761-4503 | 2005-10-26 |
| 1801891270 | Malcolm C Maclaren | Orthopaedic Surgery | 18133 Patterson Rd, Odessa, FL 33556-2214 | 2005-06-14 |
| 1083250914 | West Texas Spine Institute, Pllc | Orthopaedic Surgery | 500 E 4th St, Odessa, TX 79761-5110 | 2019-11-26 |
| 1356518146 | Vijay Borra | Orthopaedic Surgery | 519 N Lincoln Ave, Odessa, TX 79761-4429 | 2008-05-12 |
| 1942472428 | Permian Orthopaedic Associates | Orthopaedic Surgery | 500 N Washington Ave, Suite 400, Odessa, TX 79761-4401 | 2008-03-25 |
| 1447449103 | Benjamin J. Cunningham, M.d., P.a. | Orthopaedic Surgery | 600 N Grant Ave, Suite 200, Odessa, TX 79761-4503 | 2007-10-18 |
| 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.