Organization Active NPI

Hae Ran Helen Rhim,Mdpa

  • Rheumatology Physician
  • Odessa, TX
National Provider Identifier
1699167379
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
K1907 Issued in TX
Legal business name
HAE RAN HELEN RHIM,MDPA
Practice address
1157 E 42ND St
Odessa, TX 79762-7723
Phone
(432) 550-5300
Fax
(432) 366-7100
NPI assigned
Mar 4, 2015
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Hae Ran Rhim, M.D.
Title
President
Phone
(432) 550-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X K1907 TX Primary

Addresses

Primary practice location

1157 E 42ND St
Odessa, TX 79762-7723

Mailing address

1157 E 42ND St
Odessa, TX 79762-7723
Phone (432) 550-5300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1699167379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 E 42ND ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627723",
            "telephone_number": "432-550-5300",
            "fax_number": "432-366-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 E 42ND ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627723",
            "telephone_number": "432-550-5300",
            "fax_number": "432-366-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAE RAN HELEN RHIM,MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "RHIM",
        "authorized_official_first_name": "HAE RAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-550-5300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "K1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 4, 2015; 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.