PERMIAN PATHOLOGY ASSOC (NPI# 1881746253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881746253 |
| Entity Type | Organization |
| Organization Name | PERMIAN PATHOLOGY ASSOC |
| Practice Address |
500 Adams Ave Ste 400 Odessa TX 79761 |
| Practice Telephone | 4323332934 |
| Practice Fax Number | 4323333719 |
| Mailing Telephone | 4323332934 |
| Mailing Fax Number | 4323333719 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRIS CHALLAPALLI (DIRECTOR) |
| Authorized Official Telephone | 4323332934 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZC0500X |
Pathology Specialization: Cytopathology |
E5030 | TX | Allopathic & Osteopathic Physicians |
| X | 207ZC0500X |
Pathology Specialization: Cytopathology |
L2372 | TX | Allopathic & Osteopathic Physicians |
| X | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
E5030 | TX | Allopathic & Osteopathic Physicians |
| X | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
L2372 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8563N0 | 01 |
| TX | BCBS | 8563N1 | 01 |
| Street Address |
500 ADAMS AVE STE 400 |
| City | ODESSA |
| State | TX |
| Zip Code | 79761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492480 | Up Rao Md Pa | Internal Medicine | 500 Adams Ave, Suite 700, Odessa, TX 79761-4656 | 2005-07-26 |
| 1962698860 | Udipi P. Rao | Internal Medicine | 500 Adams Ave, Suite 700, Odessa, TX 79761-4656 | 2007-09-24 |
| 1770635146 | John J Challapalli | Surgery | 500 Adams Ave, Ste 400, Odessa, TX 79761 | 2007-01-17 |
| 1629084504 | Vivek U Rao | Allergy & Immunology | 500 Adams Ave, Suite 300, Odessa, TX 79761-4656 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 207ZC0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Cytopathology |
| A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist’s practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist’s expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811018781 | Kris Challapalli | Pathology | 500 Adams Ave Ste 400, Odessa, TX 79761-4656 | 2007-04-02 |
| 1528281441 | Rebecca A Mantsch | Pathology | 500 W 4th St, Odessa, TX 79761-5001 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346583911 | Alexandra Rose Nichols | Pathology | 6124 W Parker Rd Ste G36, Plano, TX 75093-8124 | 2013-04-02 |
| 1295976850 | Jane Young Dancer | Pathology | 11603 Crosswinds Way, San Antonio, TX 78233-6003 | 2009-03-11 |
| 1821288275 | Nishi Dave | Pathology | 2400 Westheimer Rd, Houston, TX 77098-1372 | 2007-07-31 |
| 1629272166 | Rosemarie Matte | Pathology | 201 Seton Parkwway, Round Rock, TX 78665 | 2007-06-11 |
| 1821207432 | Cesar Alejandro Abbud-mendez | Pathology | 1301 E River Ave, El Paso, TX 79902-4816 | 2007-05-21 |
| 1699980490 | Kelly Gilliland | Pathology | 12357 A Riata Trace Pkwy, Bldg 5, Ste 100, Thyroid Cytopathology Partners, Austin, TX 78727 | 2007-05-14 |
| 1215088083 | Maria De Jesus Ortiz | Pathology | 5501 South Expressway 77, Department of Pathology, Harlingen, TX 78550 | 2007-01-16 |
| 1811053580 | Audra Renata Linck | Pathology | 11955 Dallas Parkway, Suite 400, Frisco, TX 75033 | 2006-12-28 |
| 1235204124 | Smita Suterwala | Pathology | 8400 Esters Blvd Ste 190, Irving, TX 75063-2217 | 2006-11-23 |
| 1881643492 | Hitham Tayoun | Pathology | 11503 Nw Military Hwy Ste 106, # 44, San Antonio, TX 78231-1896 | 2006-05-09 |
| Find all providers with the same taxonomy | ||||
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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.