NPIMap

Organization Active NPI

Big Spring Medical Mall, L.L.C.

  • Family Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1336244235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BIG SPRING MEDICAL MALL, L.L.C.
Practice address
1300 S Gregg St
Suite a
Big Spring, TX 79720-4325
Phone
(432) 264-0414
Fax
(432) 264-9541
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sean L Pitman, JD
Title
Counsel
Phone
(806) 252-1928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1300 S Gregg St
Suite a
Big Spring, TX 79720-4325

Mailing address

1300 S Gregg St
Suite a
Big Spring, TX 79720-4325
Phone (432) 264-0414

National Provider Directory

National Provider Directory

Locations

1300 S Gregg St
Ste A
Big Spring, TX 79720
Phone (432) 264-0414

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336244235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S GREGG ST",
            "address_2": "SUITE A",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204325",
            "telephone_number": "432-264-0414",
            "fax_number": "432-264-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREGG ST",
            "address_2": "SUITE A",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204325",
            "telephone_number": "432-264-0414",
            "fax_number": "432-264-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SPRING MEDICAL MALL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITMAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COUNSEL",
        "authorized_official_telephone_number": "806-252-1928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.