DEBORAH L PICKENS (NPI# 1861495368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861495368 |
| Entity Type | Individual |
| Full Name | DEBORAH L PICKENS |
| Other Name | DEBORAH L GILLMORE |
| Credential | M.D. |
| Practice Address |
701 W. 5th Street Suite 3142 Odessa TX 79763 |
| Practice Telephone | 4327035299 |
| Practice Fax Number | 4323855354 |
| Mailing Telephone | 4327035299 |
| Mailing Fax Number | 8062126278 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
K6238 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 041886501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295986206 | Deborah Kay Pickens | Respiratory Therapist, Registered | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2008-10-08 |
| Street Address |
701 W. 5TH STREET SUITE 3142 |
| City | ODESSA |
| State | TX |
| Zip Code | 79763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003470204 | Ahmad Hamdan | Student in an Organized Health Care Education/Training Program | 701 W. 5th Street, Odessa, TX 79763-4206 | 2019-04-24 |
| 1942739370 | Heather Kregel | Student in an Organized Health Care Education/Training Program | 701 W. 5th Street, Odessa, TX 79763-4206 | 2017-06-08 |
| 1952830317 | Austin Levi Barnes | Student in an Organized Health Care Education/Training Program | 701 W. 5th Street, Odessa, TX 79763-4206 | 2017-06-08 |
| 1740605211 | Kristin Marie Kuenstler | Physician Assistant | 701 W. 5th Street, Suite 3142, Odessa, TX 79763 | 2014-02-20 |
| 1437140787 | Walker M. Hall | Pediatrics | 701 W. 5th Street, Odessa, TX 79763 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
| Find all providers in zip 79763 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881793909 | Durga K Annavajjhala | Pediatrics | 6 Santa Elena Ct, Odessa, TX 79765-8503 | 2006-09-22 |
| 1811304801 | Visalakshi Sethuraman | Pediatrics | 701 W 5th St Ste 3142, Odessa, TX 79763-4206 | 2014-07-22 |
| 1497886535 | Anthony Lyle Talbert | Pediatrics | 701 W 5th St, Odessa, TX 79763-4206 | 2007-03-08 |
| 1013047919 | Carlos Nieto Jr. | Pediatrics | 701 W 5th St, Odessa, TX 79763-4206 | 2007-03-07 |
| 1164578613 | Raul Chavez Valdez | Pediatrics | 701 W 5th St, Odessa, TX 79763-4206 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699233510 | Allison Claire Arbilo | Pediatrics | 6431 Fannin St # 3.254, Houston, TX 77030-1501 | 2019-03-10 |
| 1619469343 | Deulofeut Physician Services Pllc | Pediatrics | 1924 Pine St Ste 401b, Abilene, TX 79601-2452 | 2018-05-30 |
| 1801303979 | Gulf Coast Neonatology, Pllc | Pediatrics | 5920 Saratoga Blvd Ste 450, Corpus Christi, TX 78414-4124 | 2018-01-10 |
| 1023522331 | Richard Michael Rodriguez | Pediatrics | 2205 Concord Pl, Brownsville, TX 78520-3984 | 2017-11-22 |
| 1306266200 | Carlos A Laos, Md, Pa | Pediatrics | 25 Cochran Oaks Ln, Dallas, TX 75220-7811 | 2014-04-18 |
| 1225451032 | Sherlene Annette Dreyer | Pediatrics | 5000 Montrose Blvd Unit 19b, Houston, TX 77006-6564 | 2014-01-29 |
| 1154752418 | Dolores Carruth | Pediatrics | 2510 Skyline Dr, Irving, TX 75038-5819 | 2013-12-11 |
| 1891033981 | Lisa Jensen Mitchell | Pediatrics | Carl R. Darnall Medical Center, 2608 Marlin Dr, Killeen, TX 76543-2773 | 2013-01-23 |
| 1780940940 | Harashada Luhar | Pediatrics | 4707 Circle Oak Cv, Austin, TX 78749-2302 | 2012-04-02 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
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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.