West Texas Medical Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WEST TEXAS MEDICAL ASSOCIATES

Practice address

3605 Executive Dr
San Angelo, TX 76904

Phone

(325) 949-9555

NPI assigned

Jul 23, 2008

Organization subpart

Yes

Parent organization

WEST TEXAS MEDICAL ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Tommy McMahon

Title

Administrator

Phone

(325) 949-9555

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

West Texas Medical Asso2 organizations share this tax ID, including this one

Part of

West Texas Medical Asso

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Texas Medical Associates

  • Certified Registered Nurse Anesthetist
  • San Angelo, TX
  • NPI 1750544367
  NPD tax ID

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1144485756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046884",
            "telephone_number": "325-949-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76904",
            "telephone_number": "325-949-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Knickerbocker Rd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769047610",
            "country_code": "US",
            "telephone_number": "325-949-9555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Knickerbocker Rd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769047610",
            "country_code": "US",
            "telephone_number": "325-949-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST TEXAS MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST TEXAS MEDICAL ASSOCIATES",
        "enumeration_date": "2008-07-23",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-949-9555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135031606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Texas Dermatology and Skin Cancer Center PLLC
• West Texas E.a.R.S,
• West Texas Healthcare LLC
• West Texas LTC Partners, Inc.
• West Texas Medical Associates
• West Texas Medical Associates
• West Texas Medical Associates
• West Texas Nephrology Associates
• West Texas Nephrology Associates
• West Texas Renal Care Center Inc

• Pediatrics Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.