Individual provider Active NPI

Julia Catherine Gilmore, PA-C

  • Physician Assistant
  • Odessa, TX
National Provider Identifier
1437529047
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10142 Issued in TX
Practice address
3001 JBS Pkwy
Odessa, TX 79762-8126
Phone
(432) 640-6700
Fax
(432) 640-4700
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10142 TX Primary

Addresses

Primary practice location

3001 JBS Pkwy
Odessa, TX 79762-8126

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-6700

Other names 1

  • Julia Catherine Hubbard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204000632 TX Practitioner - Physician Assistant 5193029650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District CurrentSince Apr 1, 2017 Accepting new patients
Ector County Hospital District CurrentSince Apr 1, 2017 Accepting new patients
Ector County Hospital District Past Accepting new patients

Locations

3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Interoperability endpoints

  • Direct secure messaging: julia.gilmore.1@14940.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1437529047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-6700",
            "fax_number": "432-640-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 JBS PKWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628126",
            "telephone_number": "432-640-6700",
            "fax_number": "432-640-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "JULIA",
        "middle_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "HUBBARD",
            "middle_name": "CATHERINE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.