DR. EVBU OMOYEMWEN ENAKPENE (NPI# 1972816189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972816189 |
| Entity Type | Individual |
| Full Name | DR. EVBU OMOYEMWEN ENAKPENE |
| Credential | MD |
| Practice Address |
400 Rosalind Redfern Grover Pkwy Ste 240 Midland TX 79701-5856 |
| Practice Telephone | 4322213600 |
| Practice Fax Number | 4322215170 |
| Mailing Telephone | 4322213600 |
| Mailing Fax Number | 4322215170 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R0710 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1972816189 | 01 |
| TX | STATE LICENSE | R0710 | 01 |
| Street Address |
400 ROSALIND REDFERN GROVER PKWY STE 240 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-5856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306162557 | Leela Kumar Lella | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2010-04-13 |
| 1679123475 | Mark Isaac Davis | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2019-09-13 |
| 1366728909 | Christopher Ryan Vela | Physician Assistant | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821231150 | Anand Cholia Md Pa | Internal Medicine | 400 N Garfield St Ste 140, Midland, TX 79701-5905 | 2009-04-16 |
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1700929742 | Michael S Miller | Internal Medicine | 400 N Garfield, Suite 240, Midland, TX 79701-5904 | 2007-02-15 |
| 1205849114 | Midland Cardiac Clinic, Pa | Internal Medicine | 4214 Andrews Hwy Ste 100a, Midland, TX 79703-4873 | 2006-08-14 |
| 1245214295 | Adelto Adan | Internal Medicine | 4406 Orchard, Midland, MI 48670-0001 | 2005-12-02 |
| 1023010204 | Waleed H Doghmi | Internal Medicine | 301 W Wackerly St, Midland, MI 48640-2761 | 2005-06-01 |
| 1679123475 | Mark Isaac Davis | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2019-09-13 |
| 1275836736 | Permian Cardiology, Inc. | Internal Medicine | 400 Rosalind Redfern Grover Pkwy, Suite 240, Midland, TX 79701-5846 | 2010-12-06 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
| 1013158906 | Jeffrey David Martindale | Internal Medicine | 301 W Wackerly St, Midland, MI 48640-2761 | 2009-03-23 |
| Find all providers in MIDLAND | ||||
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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.