Permian Arthritis and Rheumatology Center

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER

Doing business as

Permian Arthritis and Rheumatology Center

Practice address

8050 E Highway 191 Ste 203
Odessa, TX 79765-8615

Phone

(432) 326-1939

Fax

(432) 224-1091

NPI assigned

Apr 19, 2024

Last updated

May 20, 2024By 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

Candace Wynne

Title

Credentialing

Phone

(432) 349-9730

Specialties & licenses 1

Addresses

Other names 1

• PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHGEDD

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.

• Srikanth Mukkera, M.D.

  • Rheumatology Physician
  • Odessa, TX
  • NPI 1891006482
  Medicare reassignment NPD

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1225883564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14955",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797684955",
            "telephone_number": "432-326-1939",
            "fax_number": "432-224-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E HIGHWAY 191 STE 203",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658615",
            "telephone_number": "432-326-1939",
            "fax_number": "432-224-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "432-349-9730"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin Osmand Peralta, D.D.S
• Alma Perez, RN
• Leigha Justine Perkins, OTR
• Jeffrey Perlman, M.D.
• Permian Anesthesia Associates, Inc
• Permian Back Treatment Center, PA
• Permian Basin Ambulance Inc.
• Permian Basin Caring Hearts Home Health Inc (Caring Hearts Home Health of the Permian Basin)
• Permian Basin Community Centers for MHMR
• Permian Basin Community Centers for MHMR

• Rheumatology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.