Benedict Novicio (NPI# 1003118654, PAC ID# 2961686399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1003118654 |
| PAC ID by PECOS | 2961686399 |
| Professional Enrollment ID | I20151111000217 |
| Full Name | Benedict Novicio |
| Organization Legal Name | MCH PROFESSIONAL CARE HOSPITAL BASED |
| Address |
500 W 4th St Odessa TX 79761-5001 |
| Phone Number | 4326402401 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1557535127 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450132 | MEDICAL CENTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 W 4th St, Odessa, TX 79761-5001 | 4326402401 | MCH PROFESSIONAL CARE HOSPITAL BASED |
| Organization Legal Name | MCH PROFESSIONAL CARE HOSPITAL BASED |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abhishek Bhari Jayadevappa | Anesthesiology | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Jennie A Wolfram | Certified Registered Nurse Anesthetist (crna) | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Joseph F Bryan | Anesthesiology | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Umesh Oza | Diagnostic Radiology | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Nikolay A Azarov | Critical Care (intensivists) | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Michael C Browning | Certified Registered Nurse Anesthetist (crna) | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Rajnarsing R Chennamaneni | Internal Medicine | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Narendra Sajja | Internal Medicine | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Harika Thummala | Internal Medicine | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Christi Michelle Tucker | Nurse Practitioner | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Street Address |
500 W 4TH ST |
| City | ODESSA |
| State | TX |
| Zip | 79761-5001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia G Fletcher | Certified Clinical Nurse Specialist (cns) | Ector County Hospital District | 500 W 4th St, Odessa, TX 79761-5001 |
| Abhishek Bhari Jayadevappa | Anesthesiology | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Jennie A Wolfram | Certified Registered Nurse Anesthetist (crna) | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Joseph F Bryan | Anesthesiology | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Sara Gray | Qualified Audiologist | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Jorge G. Alamo | Family Medicine | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Sarah C Shaw | General Surgery | Acute Surgical Care Specialists Pllc | 500 W 4th St, Odessa, TX 79761-5001 |
| Umesh Oza | Diagnostic Radiology | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Nikolay A Azarov | Critical Care (intensivists) | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Michael C Browning | Certified Registered Nurse Anesthetist (crna) | Mch Professional Care Hospital Based | 500 W 4th St, Odessa, TX 79761-5001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert F Demuro Jr. | Physician Assistant | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Ravi Medi | Psychiatry | 2626 Jbs Pkwy, C129, Odessa, TX 79761 | |
| Benjamin J Turnbow | Orthopedic Surgery | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Andrew M Allbright | Nurse Practitioner | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Brian W Griffin | Nurse Practitioner | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Brandon Joseph Pepper | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| David R Godino | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Amber G Mcmullan | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Joanie Marie Weber | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Megan Leonard | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Find all physicians in zip 79761 | |||
| City | ODESSA |
| Zip Code | 79761 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ODESSA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Benedict Novicio.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.