Permian Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PERMIAN ENDOSCOPY CENTER

Practice address

315 E 5TH St
Odessa, TX 79761-5133

Phone

(432) 335-8300

Fax

(432) 335-8330

NPI assigned

Aug 16, 2006

Last updated

Sep 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ravi Vemuru, M.D.

Title

President

Phone

(432) 335-8300

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravikumar Vemuru, M.D.

  • Specialist
  • Odessa, TX
  • NPI 1205949120
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1679686505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615133",
            "telephone_number": "432-335-8300",
            "fax_number": "432-335-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615133",
            "telephone_number": "432-335-8300",
            "fax_number": "432-335-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "VEMURU",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-335-8300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH1599",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00081819",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Permian Basin Oral Surgery & Dental Implant Center (Permian Basin Oral Surgery)
• Permian Basin Practice Exchange
• Permian Basin Radiology, LLC
• Permian Basin Rehabilitation Center
• Permian Basin Rehabilitation Center for Crippled Children and Adults
• Permian ER III, LLC. (Excel ER - Odessa)
• Permian Family Clinic
• Permian Gastroenterology Associates LLP
• Permian Hand and Plastic Surgery PLLC
• Permian Healthcare Inc (Star Oxygen & Medical Equipment Inc)

• Ambulatory Surgical Clinic/Center in Odessa, TX
• Providers in Odessa, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.