Comprehensive Kidney Institute of West Texas

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

N0787 Issued in TX

Legal business name

COMPREHENSIVE KIDNEY INSTITUTE OF WEST TEXAS

Doing business as

Complete Kidney Care

Practice address

318 N Alleghaney Ave
Suite 200
Odessa, TX 79761-5052

Phone

(432) 558-0497

Fax

(432) 558-0498

NPI assigned

Mar 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Oscar Gibbons, M.D., M.B.ANPI 1598828824

Title

President

Phone

(432) 558-0497

Specialties & licenses 2

Addresses

Other names 1

• Complete Kidney Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Ronald Oscar Gibbons, M.D., MBA

  • Nephrology Physician
  • Odessa, TX
  • NPI 1598828824
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1306111877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 N MIDLAND DR",
            "address_2": "SUITE 113-106",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797074608",
            "telephone_number": "432-558-0497",
            "fax_number": "432-558-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N ALLEGHANEY AVE",
            "address_2": "SUITE 200",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615052",
            "telephone_number": "432-558-0497",
            "fax_number": "432-558-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE KIDNEY INSTITUTE OF WEST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-17",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-558-0497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.B.A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0787",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N0787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Kidney Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenda G Collins, LPC LCDC
• Compass Hospice LLC
• Compass Pediatrics, PLLC
• Complete Dialysis Care LLC
• Comprehensive Hospitalist Services of Texas PLLC
• Connection Healthcare,Inc. (The Pink Tree)
• Continuecare Hospital at Odessa, Inc. (ContinueCare Hospital at Medical Center Odessa)
• Lee Cook
• Phillip Cook, PHARMD, BCPS
• Elizabeth Deann Cooper, OT, CAE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.