Active NPI
Multicare Plus PLLC
- Internal Medicine Physician
- Odessa, TX
National Provider Identifier
1356570972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E7559
- Legal business name
- MULTICARE PLUS PLLC
- Practice address
- 801 N Grant Ave
Odessa, TX 79761-4045 - Phone
- (432) 580-3700
- Fax
- (432) 580-3707
- NPI assigned
- Jul 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory W Barth, MD
- Title
- Medical Director
- Phone
- (432) 580-7004
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E7559 | TX | Primary |
| Pain Medicine Physician | 208VP0000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX |
Addresses
Primary practice location
801 N Grant Ave
Odessa, TX 79761-4045
Mailing address
801 N Grant Ave
Odessa, TX 79761-4045
Phone (432) 580-7004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6405660001 | Other | TX | PALMETTO GBA |
National Provider Directory
National Provider DirectoryLocations
3409 Andrews Hwy
Midland, TX 79703
Phone (432) 580-7004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1356570972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N GRANT AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614045",
"telephone_number": "432-580-7004",
"fax_number": "432-262-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N GRANT AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614045",
"telephone_number": "432-580-3700",
"fax_number": "432-580-3707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTICARE PLUS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-02",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "BARTH",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "432-580-7004",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "E7559",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "6405660001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.