David Barry Willingham, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

H9047 Issued in TX

Practice address

4222 Wendover Ave
Suite 600
Odessa, TX 79762-5945

Phone

(432) 552-5656

Fax

(432) 552-0992

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Medical School at San Antonio, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Physicians, PLLCGroup PAC ID 7214963958, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Hospital Hospital, Odessa, TX, CCN 450132
• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.willingham.1@10019.direct.athenahealth.com

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.

• First Physicians, PLLC

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1356374854
  Medicare reassignment Care Compare group NPD
• Premier Family Care I, Inc

  • General Practice Physician
  • Midland, TX
  • NPI 1275522864
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ector County Hospital District

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation
• Midland County Hospital District

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  Care Compare affiliation

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1467441642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 WENDOVER AVE",
            "address_2": "SUITE 600",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625945",
            "telephone_number": "432-552-5656",
            "fax_number": "432-552-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 WENDOVER AVE",
            "address_2": "SUITE 600",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625945",
            "telephone_number": "432-552-5656",
            "fax_number": "432-552-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "DAVID",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H0947",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "H9047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8J3983",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE NUMBER",
            "identifier": "H0947",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britney Michelle Williams, MD
• Christopher Ryan Williams, L.A.T.
• Cynthia Williams
• Donna Rae Williams, DDS
• Rahfeki S Williams
• Jack K Willis Jr., PA
• Marta Gay Willoughby, MD
• Erin Wilson, MD
• Lloyd Austin Wilson, MA, LPC
• Stephanie Wilson, LVN

• Adult Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.