Carlos A Dimidjian (NPI# 1033197405, PAC ID# 7113971771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1033197405 |
| PAC ID by PECOS | 7113971771 |
| Professional Enrollment ID | I20050307000241 |
| Full Name | Carlos A Dimidjian |
| Organization Legal Name | PERMIAN PREMIER HEALTH SERVICES INC |
| Address |
1608 W Fm 700 B Steward Medical Group of Texas Big Spring TX 79720-4113 |
| Phone Number | 4322671441 |
| Gender | M |
| Credential | DPM |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8426051293 |
| Number of Group Practice Members | 140 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450653 | SCENIC MOUNTAIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1608 W Fm 700 B, Steward Medical Group of Texas, Big Spring, TX 79720-4113 | 4322671441 | PERMIAN PREMIER HEALTH SERVICES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 7% | |
| MIPS_EC_047_overall | Care Plan | 7% |
| Organization Legal Name | PERMIAN PREMIER HEALTH SERVICES INC |
| Physicians | 114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordon Pittman | Nurse Practitioner | Permian Premier Health Services Inc | 2162 Texas Ave, Bridge City, TX 77611-2838 |
| Michael Janice | General Surgery | Permian Premier Health Services Inc | 408 N Hancock Ave, Steward Medical Group of Texas, Odessa, TX 79761-5140 |
| Syeeda Alam | Family Medicine | Permian Premier Health Services Inc | 3001 W University Blvd, Steward Medical Group of Texas, Odessa, TX 79764-7129 |
| Vicky Bakhos Webb | Family Medicine | Permian Premier Health Services Inc | 1701 N Loop 250, Steward Medical Group of Texas, Midland, TX 79707-6002 |
| Crystal Stephens | Nurse Practitioner | Permian Premier Health Services Inc | 6510 Folsom Dr, Beaumont, TX 77706-7274 |
| Vernon Nathaniel Johnson | Family Medicine | Permian Premier Health Services Inc | 910 S Main St, Steward Medical Group of Texas, Big Spring, TX 79720-2928 |
| Tiffany L Vaught | Nurse Practitioner | Permian Premier Health Services Inc | 605 E 4th St, Odessa, TX 79761-5100 |
| Ashley W Walters | Nurse Practitioner | Permian Premier Health Services Inc | 1409 S Hwy 69, Steward Medical Group of Texas, Nederland, TX 77627-7842 |
| Phuong T Tran | Nurse Practitioner | Permian Premier Health Services Inc | 520 S Twin City Hwy 102, Steward Medical Group of Texas, Nederland, TX 77627-4246 |
| Tho V Tran | Psychiatry | Permian Premier Health Services Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Street Address |
1608 W FM 700 B STEWARD MEDICAL GROUP OF TEXAS |
| City | BIG SPRING |
| State | TX |
| Zip | 79720-4113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ming S Whitten | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Paul E Mclean Ii | Family Medicine | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Tricia J Clay | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Shiraj A Vahora | Psychiatry | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Ann Chang | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Lourie L Winegar | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Feroz Yaqoob | Psychiatry | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| William P Phillips | General Practice | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Tommy Y Chang | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Guido G Spangher | Psychiatry | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Find all physicians in zip 79720 | |||
| City | BIG SPRING |
| Zip Code | 79720 |
| Specialty | PODIATRY |
| City + Specialty | BIG SPRING + PODIATRY |
Please comment or provide details below to improve the information on Carlos A Dimidjian.
| 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.