Active NPI
West Texas Imaging Center PA
- Specialist
- Odessa, TX
National Provider Identifier
1063781334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G7240
- Legal business name
- WEST TEXAS IMAGING CENTER PA
- Practice address
- 320 N Muskingum Ave
Odessa, TX 79761-5152 - Phone
- (432) 335-8400
- NPI assigned
- Dec 15, 2011
- Last updated
- Apr 30, 2012
- Organization subpart
- Yes
- Parent organization
- WEST TEXAS IMAGING CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sajjadul Islam, M.D.
- Title
- Owner/Physician
- Phone
- (432) 335-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G7240 | TX | Primary |
Addresses
Primary practice location
320 N Muskingum Ave
Odessa, TX 79761-5152
Mailing address
320 N Muskingum Ave
Odessa, TX 79761-5152
Phone (432) 335-8400
Other names 1
- Sajjadul Islam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- West Texas Imaging Cent
Locations
320 N Muskingum Ave
Odessa, TX 79761
Phone (431) 335-8400
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335744000000",
"number": "1063781334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N MUSKINGUM AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615152",
"telephone_number": "432-335-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N MUSKINGUM AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615152",
"telephone_number": "432-335-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST TEXAS IMAGING CENTER PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST TEXAS IMAGING CENTER",
"enumeration_date": "2011-12-15",
"last_updated": "2012-04-30",
"status": "A",
"authorized_official_last_name": "ISLAM",
"authorized_official_first_name": "SAJJADUL",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "432-335-8400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G7240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sajjadul Islam",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Odessa, TX
- West Texas Cardiology PA
- West Texas Counselling and Rehabilitation Program of Odessa, Inc. (WTCR Odessa, Inc.)
- West Texas Diabetes and Endocrine Center PA
- West Texas Excel ER Physicians, PLLC
- West Texas Geriatrics LLC
- West Texas Maternal Fetal Medicine Center, LLC
- West Texas Neurosurgery PA
- West Texas OBGYN
- West Texas Pediatric Subspecialty Group
- West Texas Reproductive Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.