Active NPI
West Texas Pediatric Subspecialty Group
- Pediatric Cardiology Physician
- Odessa, TX
National Provider Identifier
1366037319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP
- Practice address
- 500 W 4TH St
Odessa, TX 79761-5001 - Phone
- (432) 640-1790
- NPI assigned
- Mar 2, 2021
- 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
- Dr. Victor York Levy, MD
- Title
- Ceo
- Phone
- (817) 228-3947
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | |||
| Pediatric Cardiology Physician | 2080P0202X | Primary |
Addresses
Primary practice location
500 W 4TH St
Odessa, TX 79761-5001
Mailing address
2533 Rogers Ave
Fort Worth, TX 76109-1348
Phone (817) 228-3947
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1614643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614643200000",
"number": "1366037319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2533 ROGERS AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091348",
"telephone_number": "817-228-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 4TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615001",
"telephone_number": "432-640-1790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A",
"authorized_official_last_name": "LEVY",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "YORK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-228-3947",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
- West Texas Geriatrics LLC
- West Texas Imaging Center PA
- West Texas Maternal Fetal Medicine Center, LLC
- West Texas Neurosurgery PA
- West Texas OBGYN
- West Texas Reproductive Center
- West Texas Spine Institute, PLLC
- West Texas Spine PA
- West Texas Urgent Dentistry
- West Wharton County Hospital District (Sienna Nursing and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.