ALLIE CHRISTINE BLACK (NPI# 1851660336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851660336 |
| Entity Type | Individual |
| Full Name | ALLIE CHRISTINE BLACK |
| Credential | PA-C |
| Practice Address |
3051 E University Blvd Odessa TX 79762-7902 |
| Practice Telephone | 4323624376 |
| Practice Fax Number | 4323626308 |
| Mailing Telephone | 4323624376 |
| Mailing Fax Number | 4323626308 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA07554 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3051 E UNIVERSITY BLVD |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870377 | Christine W Wan | Family Medicine | 3051 E University Blvd, Odessa, TX 79762-7902 | 2005-06-09 |
| 1811461189 | Danny Glen Mulkey | Nurse Practitioner | 3051 E University Blvd, Odessa, TX 79762-7902 | 2019-01-19 |
| 1750893152 | Chad Nicholas Adams | Physician Assistant | 3051 E University Blvd, Odessa, TX 79762-7902 | 2017-10-26 |
| 1710370861 | Jeneva Ann Marmolejo | Physician Assistant | 3051 E University Blvd, Odessa, TX 79762-7902 | 2015-03-13 |
| 1912277229 | Ashton Brea Hughes | Physician Assistant | 3051 E University Blvd, Odessa, TX 79762-7902 | 2012-01-03 |
| 1275819328 | Jesus Alfredo Torres | Physician Assistant | 3051 E University Blvd, Odessa, TX 79762-7902 | 2011-11-02 |
| 1457650996 | Jay B Gibson | Physician Assistant | 3051 E University Blvd, Odessa, TX 79762-7902 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891234969 | Jesus Mendez Fuentes | Physician Assistant | 2224 Alameda Ct, Odessa, TX 79763-2273 | 2017-02-22 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1184022758 | Md Moinul Islam | Physician Assistant | 6030 W. University, Odessa, TX 79764 | 2014-12-15 |
| 1962711200 | Ramnauth Robert Ramkissoon | Physician Assistant | 1940 E 42nd St Ste B, Odessa, TX 79762-5840 | 2010-10-05 |
| 1629304811 | Erika Alfaro Salvo | Physician Assistant | 4222 Wendover Ave Ste 600, Odessa, TX 79762-5983 | 2009-10-23 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1679511802 | J David Barr | Physician Assistant | 16734 Ivy Lake Dr, Odessa, FL 33556-6020 | 2006-06-02 |
| 1275171423 | Kailani Alana Lee Decock | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-12-18 |
| 1255986402 | Alexandra R Fierro | Physician Assistant | 720 Golder Ave, Odessa, TX 79761-4442 | 2019-08-05 |
| 1538714076 | Stephanie Renee' Powell | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-08-01 |
| 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.