SMMC MEDICAL GROUP (NPI# 1811973282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811973282 |
| Entity Type | Organization |
| Organization Name | SMMC MEDICAL GROUP |
| Other Organization Name | FAMILY MEDICAL CENTER |
| Practice Address |
2301 S Gregg St Big Spring TX 79720-5531 |
| Mailing Address |
Po Box 5009 Brentwood TN 37024-5009 |
| Practice Telephone | 4322675531 |
| Practice Fax Number | 4322672025 |
| Mailing Telephone | 6152211400 |
| Mailing Fax Number | 6152211484 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | SOPHIA L ARWOOD (DIRECTOR) |
| Authorized Official Telephone | 6156286038 |
| Is Organization Subpart | Y |
| Parent Organization Name | SMMC MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 092556202 | 05 | |
| TX | 092556201 | 05 | |
| TX | BCBS | 0047ER | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194239905 | Smmc Medical Group | Clinic/Center | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2017-12-01 |
| Street Address |
2301 S GREGG ST |
| City | BIG SPRING |
| State | TX |
| Zip Code | 79720-5531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219439 | Cynthia Rutledge | Family Medicine | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2005-07-18 |
| 1396350070 | Jonathan Robert Morales | Nurse Practitioner | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2020-09-10 |
| 1871149807 | Permian Premier Health Services Inc | Clinic/Center | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2019-08-15 |
| 1578024303 | Permian Premier Health Services Inc | Clinic/Center | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2019-03-26 |
| 1932664091 | Permian Premier Health Services Inc | Anesthesiology | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2019-02-04 |
| 1194239905 | Smmc Medical Group | Clinic/Center | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2017-12-01 |
| 1578931317 | Brandi Webb | Nurse Practitioner | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2015-09-10 |
| 1669801585 | Regional Employee Assistance Program Inc | Obstetrics & Gynecology | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2013-11-02 |
| 1245583103 | Megan Sherree Chandler | Nurse Practitioner | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2012-10-16 |
| 1316135619 | Jody Brooks Roberts | Registered Nurse | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174072 | Sharron Harrell | Technician | 407 Driver Rd, Big Spring, TX 79720 | 2019-09-23 |
| 1760049357 | Big Spring Urgent Care Pllc | Clinic/Center | 1700 Wfm 700 Suite B, Big Spring, TX 79720 | 2019-05-20 |
| 1558927582 | West Texas Injury Prevention | Nurse Practitioner | 1111 Scurry, Big Spring, TX 79720 | 2019-05-15 |
| 1417442781 | Caprise Carrisalez | Licensed Vocational Nurse | 2536 Westover, #140, Big Spring, TX 79720 | 2018-06-28 |
| 1235644758 | Connect2speech, LLC | Speech-Language Pathologist | 603 S Gregg St Ste C, Big Spring, TX 79720 | 2017-12-06 |
| 1396256913 | Pf Development 16, LLC | Home Health | 609 S Gregg St, Big Spring, TX 79720 | 2017-10-23 |
| 1497202063 | Wiggins-worthy Wellness Pllc | Clinic/Center | 607 N Main St., Big Spring, TX 79720 | 2016-09-01 |
| 1336537109 | Sangwook Kang | Nurse Anesthetist, Certified Registered | 1601 W 11th Place, Big Spring, TX 79720 | 2015-01-02 |
| 1245542091 | Mme II LLC | Durable Medical Equipment & Medical Supplies | 1903 S Gregg St, Big Spring, TX 79720 | 2010-07-09 |
| 1699945659 | Treasa Kerby Wells | Registered Nurse | 2103 Morrison Drive, Big Spring, TX 79720 | 2008-03-06 |
| Find all providers in zip 79720 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801949920 | Kurt Collin Olson | Family Medicine | 300 W Veterans Blvd Rm 153, Big Spring, TX 79720-5566 | 2007-01-19 |
| 1487635033 | South Plains Physicians Associates Ltd | Family Medicine | 1510 Scurry St, Ste C, Big Spring, TX 79720-4441 | 2005-11-10 |
| 1043219439 | Cynthia Rutledge | Family Medicine | 2301 S Gregg St, Big Spring, TX 79720-5531 | 2005-07-18 |
| 1558360941 | John Farquhar | Family Medicine | 300 W Veterans Blvd, Big Spring, TX 79720-5566 | 2005-07-18 |
| 1609341007 | Latisha Marie Ward | Family Medicine | 2601 Wasson Rd, Big Spring, TX 79720 | 2018-10-11 |
| 1609130301 | Lawrence Devolld | Family Medicine | 2503 S Gregg St, Unit C, Big Spring, TX 79720-6553 | 2012-06-27 |
| 1851688931 | Kiranmayi Adimoolam | Family Medicine | 300 W Veterans Blvd, Big Spring, TX 79720-5566 | 2011-07-08 |
| 1386830354 | Kusumakar Sooda | Family Medicine | 300 W Veterans Blvd, Big Spring, TX 79720-5566 | 2007-09-24 |
| 1437174620 | David Dean Long | Family Medicine | 910 S Main St, Big Spring, TX 79720-2928 | 2006-07-12 |
| 1710910344 | Heberto Cofresi | Family Medicine | 300 W Veterans Blvd, Big Spring, TX 79720-5566 | 2006-07-08 |
| Find all providers in BIG SPRING | ||||
| City | BIG SPRING |
| Zip Code | 79720 |
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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.