Permian Cardiology, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PERMIAN CARDIOLOGY, INC.

Practice address

400 Rosalind Redfern Grover Pkwy
Suite 240
Midland, TX 79701-5846

Phone

(432) 683-2723

Fax

(432) 683-4907

NPI assigned

Dec 6, 2010

Organization subpart

No

Name

Candace Wynne

Title

Credentialing

Phone

(432) 686-6605

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcy Leann Askins, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1831441385

  TX

  Medicare reassignment Care Compare group NPD
• James H Barnett, MD

  • Cardiovascular Disease Physician
  • Midland, TX
  • NPI 1356484497

  Cardiovascular Disease, TX

  Medicare reassignment Care Compare group NPD
• Stephanie Crawford, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1265081616

  TX

  Medicare reassignment Care Compare group NPD
• Evbu Omoyemwen Enakpene, MD

  • Cardiovascular Disease Physician
  • Midland, TX
  • NPI 1972816189

  Cardiovascular Disease, TX

  Medicare reassignment Care Compare group NPD
• Leela Kumar Lella, M.D

  • Internal Medicine Physician
  • Midland, TX
  • NPI 1306162557

  TX

  Medicare reassignment Care Compare group NPD
• Sulay Pankaj Patel

  • Cardiovascular Disease Physician
  • Midland, TX
  • NPI 1265798763

  Multi-Specialty, TX

  Medicare reassignment Care Compare group NPD
• Whitney E Wyers, CNP

  • Nurse Practitioner
  • Ruidoso, NM
  • NPI 1972003119

  TX

  Medicare reassignment Care Compare group NPD
• Christopher Ryan Vela, PAC

  • Physician Assistant
  • Midland, TX
  • NPI 1366728909

  TX

  Medicare reassignment Care Compare group
• Elena Krendelshchikova, AGNP-C

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1356714406

  TX

  Medicare reassignment NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2020.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1275836736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "address_2": "SUITE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015846",
            "telephone_number": "432-683-2723",
            "fax_number": "432-683-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "address_2": "SUITE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015846",
            "telephone_number": "432-683-2723",
            "fax_number": "432-683-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN CARDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "432-686-6605"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CANDACE.WYNNE@MIDLANDHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Rosalind Redfern Grover Pkwy",
            "address_2": "Suite 240",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797015846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Permian Basin Speech Language and Learning Services Inc
• Permian Basin Surgical Care Center, LLC
• Permian Basin Urology Center L.P.
• Permian Basin Wound Care Specialists, PLLC
• Permian Cardiology Associates
• Permian Diagnostics PLLC
• Permian Digestive Disease Center PA
• Permian Emergency Management
• Permian Emergency Management PLLC
• Permian Endocrine & Diabetes, P.a.

• All providers in Midland, TX
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.