Organization Active NPI

International Locum Tenens

Doing business as Permian Occupational Medicine and Worker Injury

  • Health Maintenance Organization
  • Midland, TX
National Provider Identifier
1518206176
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
G8562 Issued in TX
Legal business name
INTERNATIONAL LOCUM TENENS
Doing business as
Permian Occupational Medicine and Worker Injury
Practice address
301 Dodson St
Midland, TX 79701-6334
Phone
(432) 684-7780
Fax
(432) 684-7782
NPI assigned
Feb 1, 2013
Last updated
Feb 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Dr. Daniel Harpine Kinzie IV, MD
Title
Owner
Phone
(432) 684-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X G8562 TX Primary

Addresses

Primary practice location

301 Dodson St
Midland, TX 79701-6334

Mailing address

301 Dodson St
Midland, TX 79701-6334
Phone (432) 684-7780

Other names 1

  • Permian Occupational Medicine and Worker Injury Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Permian Occupational Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1518206176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DODSON ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016334",
            "telephone_number": "432-684-7780",
            "fax_number": "432-684-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DODSON ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016334",
            "telephone_number": "432-684-7780",
            "fax_number": "432-684-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL LOCUM TENENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "KINZIE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HARPINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-684-7780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "G8562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Permian Occupational Medicine and Worker Injury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.