Active NPI
West Texas Urology PA
- Specialist
- Midland, TX
National Provider Identifier
1467453860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H3422
- Legal business name
- WEST TEXAS UROLOGY PA
- Practice address
- 2706 W Cuthbert BLDG C
Midland, TX 79701-3887 - Phone
- (432) 687-0311
- Fax
- (432) 687-0312
- NPI assigned
- Aug 9, 2005
- 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. John Barry Staub, MD
- Title
- President
- Phone
- (432) 687-0311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H3422 | TX | Primary |
Addresses
Primary practice location
2706 W Cuthbert BLDG C
Midland, TX 79701-3887
Mailing address
2706 W Cuthbert BLDG C
Midland, TX 79701-3887
Phone (432) 687-0311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172553301 | Medicaid | TX | |
| 45D0508718 | Other | TX | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
540 W 5th St
Ste 420
Odessa, TX 79761
Phone (432) 582-2280
420 E 6th St
Ste 101
Odessa, TX 79761
Phone (432) 614-6376
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Midland, TX
- NPI 1679574099
-
- Urology Physician
- Denton, TX
- NPI 1285991851
-
- Medical Physician Assistant
- Midland, TX
- NPI 1689134629
-
- Physician Assistant
- Midland, TX
- NPI 1558979013
-
- Medical Physician Assistant
- Midland, TX
- NPI 1295167260
-
- Physician Assistant
- Midland, TX
- NPI 1720698640
-
- Urology Physician
- Midland, TX
- NPI 1366652315
-
- Physician Assistant
- Fort Worth, TX
- NPI 1952556433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392768000000",
"number": "1467453860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 W CUTHBERT BLDG C",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797013887",
"telephone_number": "432-687-0311",
"fax_number": "432-687-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 W CUTHBERT BLDG C",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797013887",
"telephone_number": "432-687-0311",
"fax_number": "432-687-0312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST TEXAS UROLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2014-02-19",
"status": "A",
"authorized_official_last_name": "STAUB",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "BARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "432-687-0311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "H3422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172553301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D0508718",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
- West Texas Medical Center, LLC
- West Texas Orthopedic Hospitalist, PA
- West Texas Orthopedics LLP (West Texas Orthopedics)
- West Texas Pediatric Dentistry PLLC
- West Texas Therapy
- Dawn Renee Westby Garcia, L.P.C.
- WF Ballesteros MD
- Wharry Platinum Family Care Clinic, PLLC
- Amber Jean Dawn White, PA-C
- Ashlea White, LCDC, NCACI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.