Permian Endocrine & Diabetes, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

H5631 Issued in TX

Legal business name

PERMIAN ENDOCRINE & DIABETES, P.A.

Practice address

303 Veterans Airpark LN
Suite 4109
Midland, TX 79705-4512

Phone

(432) 697-8988

Fax

(432) 697-8950

NPI assigned

Aug 24, 2006

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori D. Adcock, M.D.NPI 1699882639

Title

President

Phone

(432) 697-8988

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori D. Adcock, M.D.

  • Specialist
  • Midland, TX
  • NPI 1699882639
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1013024025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52307",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797102307",
            "telephone_number": "432-687-8988",
            "fax_number": "432-697-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 VETERANS AIRPARK LN",
            "address_2": "SUITE 4109",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054512",
            "telephone_number": "432-697-8988",
            "fax_number": "432-697-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN ENDOCRINE & DIABETES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-697-8988",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H5631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0052EV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Permian Cardiology, Inc.
• Permian Diagnostics PLLC
• Permian Digestive Disease Center PA
• Permian Emergency Management
• Permian Emergency Management PLLC
• Permian Gastroenterology, P.a.
• Permian Nephrology Associates, PA
• Permian Occupational Medicine
• Allyese Perry, PA-S
• Joan Sybell Petalcorin, M.D.

• Specialist in Midland, TX
• Providers in Midland, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.