Active NPI
Permian Pulmonary, P.a.
- Internal Medicine Physician
- Odessa, TX
National Provider Identifier
1457537185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0770
- Legal business name
- PERMIAN PULMONARY, P.A.
- Practice address
- 500 N Washington Ave Ste 100
Odessa, TX 79761-4441 - Phone
- (432) 580-9444
- Fax
- (432) 580-9555
- NPI assigned
- Jan 11, 2008
- 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
- Joel L. Adams, M.D.
- Title
- President/Owner
- Phone
- (432) 580-9444
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0770 | TX | Primary |
| Pulmonary Disease Physician | 207RP1001X | D0770 | TX |
Addresses
Primary practice location
500 N Washington Ave Ste 100
Odessa, TX 79761-4441
Mailing address
500 N Washington Ave Ste 100
Odessa, TX 79761-4441
Phone (432) 580-9444
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 864268 INDIV | Other | TX | MEDICARE INDIV |
| A87096 | Other | TX | UPIN INDIV |
| 8G6240 | Other | TX | BCBS INDIV |
| 134105908 INDIV | Other | TX | MEDICAID INDIV |
| 290015259 | Other | TX | RAILROAD MEDICARE |
| 45D 1005326 | Other | TX | CLIA |
| 45JF | Other | TX | BCBS GROUP |
| 154126001 GROUP TPI | Medicaid | TX | |
| 00899T | Other | TX | MEDICARE GROUP# (PTAN) |
National Provider Directory
National Provider DirectoryLocations
500 N Washington Ave
Ste 100
Odessa, TX 79761
Phone (432) 580-9444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300233600000",
"number": "1457537185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N WASHINGTON AVE STE 100",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614441",
"telephone_number": "432-580-9444",
"fax_number": "432-580-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N WASHINGTON AVE STE 100",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614441",
"telephone_number": "432-580-9444",
"fax_number": "432-580-9555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERMIAN PULMONARY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-11",
"last_updated": "2011-03-16",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "432-580-9444",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "D0770",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "D0770",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIV",
"identifier": "864268 INDIV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN INDIV",
"identifier": "A87096",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIV",
"identifier": "8G6240",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID INDIV",
"identifier": "134105908 INDIV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290015259",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D 1005326",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "45JF",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154126001 GROUP TPI",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP# (PTAN)",
"identifier": "00899T",
"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 Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.