Deitleman Health and Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DEITLEMAN HEALTH AND WELLNESS

Practice address

1514 S Iowa St
Pecos, TX 79772-5604

Phone

(432) 755-8106

NPI assigned

May 2, 2023

Last updated

May 2, 2023By 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

Dr. Deitrick L Gorman, DONPI 1649281569

Title

Ceo/Owner

Phone

(432) 755-8106

Specialties & licenses 1

Addresses

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.

• Deitrick Leellen Gorman, DO

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1649281569
  NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1295424638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 S IOWA ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797725604",
            "telephone_number": "432-755-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 S IOWA ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797725604",
            "telephone_number": "432-755-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEITLEMAN HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "DEITRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "432-755-8106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pete Castillo, PA-C
• Ola Gail Caverly, M.D.
• Orville D Cerna, M.D.
• County of Reeves (Reeves County Recreation Center)
• Abigail Lauren Darnell, DO
• Dentist in Pecos PLLC
• Lori A Diaz, PT, DPT
• Chibuikem Samuel Dimgba, RD
• Brittney J Dye, DPT
• John Thayer Edmondson, CRNA

• Primary Care Clinic/Center in Pecos, TX
• Providers in Pecos, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.