Permian Premier Health Services Inc

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

PERMIAN PREMIER HEALTH SERVICES INC

Practice address

520 E 6TH St
Odessa, TX 79761-4527

Phone

(432) 582-8053

Fax

(432) 582-8054

NPI assigned

May 7, 2019

Organization subpart

No

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

Authorized official

Name

Jonathan A Demke

Title

Ceo

Phone

(615) 467-1072

Specialties & licenses 1

Addresses

Other names 1

• STEWARD MEDICAL GROUP OF TEXAS Doing business as

Tax ID family

Permian Premier Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Permian Premier Health Services Inc

  • Specialist
  • Texarkana, TX
  • NPI 1487211843
  NPD tax ID
• Permian Premier Health Services Inc

  • Specialist
  • Houston, TX
  • NPI 1972168425
  NPD tax ID

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1285299131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24573",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154496",
            "telephone_number": "855-660-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614527",
            "telephone_number": "432-582-8053",
            "fax_number": "432-582-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN PREMIER HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "DEMKE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-467-1072"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEWARD MEDICAL GROUP OF TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Permian Imaging LLC
• Permian Nephrology Associates PA
• Permian Orthopaedic Associates
• Permian Pathology Assoc
• Permian Pediatrics PA
• Permian Premier Health Services Inc
• Permian Pulmonary, P.a.
• Permian Women'S Center, P.a
• Colleen Perry, LAT, ATC
• Malathi Latha Perugula, MD

• Contractor in Odessa, TX
• Providers in Odessa, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.