Permian Women's Center, P.a

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

K2565 Issued in TX

Legal business name

PERMIAN WOMEN'S CENTER, P.A

Practice address

405 N Tom Green Ave
Odessa, TX 79761-5145

Phone

(432) 580-9876

NPI assigned

Jul 11, 2006

Last updated

Jun 19, 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

Mr. Pill G. Raja, M.D.NPI 1518927656

Title

Ceo

Phone

(432) 580-9876

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/abd8726a-ad55-4f85-8206-9ee9deb6ac7b/

Practitioners 20

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.

• Pill G Raja, M.D.

  • Obstetrics & Gynecology Physician
  • Odessa, TX
  • NPI 1518927656
  Medicare reassignment Care Compare group NPD Authorized official
• Evelyn Hernandez Catungal, FNP-C

  • Family Nurse Practitioner
  • Odessa, TX
  • NPI 1205477908
  Medicare reassignment Care Compare group NPD
• Usha R Kurra II, M.D.

  • Internal Medicine Physician
  • Odessa, TX
  • NPI 1689633075
  Medicare reassignment Care Compare group
• Jorge Fernando Aranda Jaimes, M.D.

  • Obstetrics & Gynecology Physician
  • El Paso, TX
  • NPI 1225263429
  Medicare reassignment NPD
• Mary Grace Bridges, MD

  • Obstetrics & Gynecology Physician
  • Odessa, TX
  • NPI 1609133362
  Medicare reassignment NPD
• Jennifer Leanne Gray, DO

  • Obstetrics & Gynecology Physician
  • Big Spring, TX
  • NPI 1336637859
  Medicare reassignment NPD
• Ayodele O Olowookere, MD

  • Obstetrics & Gynecology Physician
  • Midland, TX
  • NPI 1124350442
  Medicare reassignment NPD
• Leela Sharath Pillarisetty, MD

  • Obstetrics & Gynecology Physician
  • Midland, TX
  • NPI 1235484114
  Medicare reassignment NPD
• Krysten Renteria

  • Medical Physician Assistant
  • Odessa, TX
  • NPI 1659154458
  Medicare reassignment NPD
• Jerry Sinclair, MD

  • Obstetrics & Gynecology Physician
  • Abilene, TX
  • NPI 1255350211
  Medicare reassignment NPD
• Lori Caroline Megan Stafford, D.O.

  • Obstetrics & Gynecology Physician
  • Odessa, TX
  • NPI 1417181280
  Medicare reassignment NPD
• Terriawkia A Woods-Campbell, MD

  • Obstetrics & Gynecology Physician
  • Waco, TX
  • NPI 1861479180
  Medicare reassignment NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013942861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N TOM GREEN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615145",
            "telephone_number": "432-580-9876",
            "fax_number": "432-580-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N TOM GREEN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615145",
            "telephone_number": "432-580-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN WOMEN'S CENTER, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "RAJA",
        "authorized_official_first_name": "PILL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-580-9876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2522",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K2565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080839601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Permian Pathology Assoc
• Permian Pediatrics PA (Permian Pediatrics)
• Permian Premier Health Services Inc (Steward Medical Group of Texas)
• Permian Premier Health Services Inc
• Permian Pulmonary, P.a.
• Colleen Perry, LAT, ATC
• Malathi Latha Perugula, MD
• Scott Cy Peterson, M.D.
• Ballah G. Pewee, QMHP
• Erin Elizabeth Pfeil, CCC-SLP

• Obstetrics & Gynecology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.