Michael Janice (NPI# 1417363268, PAC ID# 8921318189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1417363268 |
| PAC ID by PECOS | 8921318189 |
| Professional Enrollment ID | I20191002001221 |
| Full Name | Michael Janice |
| Organization Legal Name | PERMIAN PREMIER HEALTH SERVICES INC |
| Address |
408 N Hancock Ave Steward Medical Group of Texas Odessa TX 79761-5140 |
| Phone Number | 4325807373 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8426051293 |
| Number of Group Practice Members | 140 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450661 | ODESSA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 408 N Hancock Ave, Steward Medical Group of Texas, Odessa, TX 79761-5140 | 4325807373 | PERMIAN PREMIER HEALTH SERVICES INC |
| 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 |
| 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 |
| Amanda L Paradeaux | Nurse Practitioner | Permian Premier Health Services Inc | 980 E 87th St D, Steward Medical Group of Texas, Odessa, TX 79765-1318 |
| Street Address |
408 N HANCOCK AVE STEWARD MEDICAL GROUP OF TEXAS |
| City | ODESSA |
| State | TX |
| Zip | 79761-5140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Kevin Lynch | General Surgery | Permian Premier Health Services Inc | 408 N Hancock Ave, Odessa, TX 79761-5140 |
| 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 | GENERAL SURGERY |
| City + Specialty | ODESSA + GENERAL SURGERY |
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| 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.