Organization Active NPI

Multicare Plus PLLC

  • Internal Medicine Physician
  • Odessa, TX
National Provider Identifier
1356570972
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E7559 Issued in TX
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

Updated by the provider on Nov 16, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X E7559 TX Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6405660001OtherTXPALMETTO GBA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.