Active NPI
John W Whitten, M.D.
- Internal Medicine Physician
- Odessa, TX
National Provider Identifier
1659446102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E6196
- Practice address
- 8050 E Highway 191
Suite 200
Odessa, TX 79765-8607 - Phone
- (432) 337-5411
- Fax
- (432) 332-0301
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E6196 | TX | Primary |
Addresses
Primary practice location
8050 E Highway 191
Suite 200
Odessa, TX 79765-8607
Mailing address
8050 E Highway 191
Suite 200
Odessa, TX 79765-8607
Phone (432) 337-5411
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124550806 | Medicaid | TX | |
| P00024656 | Other | TX | RAILROAD MEDICARE |
| 8H9551 | Other | TX | BLUE CROSS BLUE SHIELD |
| 100268103 | Other | TX | FIRST CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6196 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1659446102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8050 E HIGHWAY 191",
"address_2": "SUITE 200",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658607",
"telephone_number": "432-337-5411",
"fax_number": "432-332-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 E HIGHWAY 191",
"address_2": "SUITE 200",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658607",
"telephone_number": "432-337-5411",
"fax_number": "432-332-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTEN",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E6196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124550806",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00024656",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8H9551",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE NETWORK",
"identifier": "100268103",
"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 Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.