Organization Active NPI

Marta Willoughby MD PA

  • Urgent Care Clinic/Center
  • Midland, TX
National Provider Identifier
1053645838
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
M2204 Issued in TX
Legal business name
MARTA WILLOUGHBY MD PA
Practice address
3423 Caldera
Midland, TX 79707
Phone
(432) 699-6271
Fax
(432) 699-6296
NPI assigned
Sep 25, 2009
Last updated
Sep 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Marta G Willoughby, MD
Title
President
Phone
(432) 218-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X M2204 TX Primary

Addresses

Primary practice location

3423 Caldera
Midland, TX 79707

Mailing address

5600 Heartland Court
Midland, TX 79707-1111
Phone (432) 218-8880

Other identifiers 1

IdentifierTypeStateIssuer
M2204OtherTXLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1053645838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 HEARTLAND COURT",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797071111",
            "telephone_number": "432-218-8880",
            "fax_number": "432-218-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 CALDERA",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79707",
            "telephone_number": "432-699-6271",
            "fax_number": "432-699-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA WILLOUGHBY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-218-8880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "M2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M2204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.