Individual provider Active NPI

Cem Nasuhoglu, M.D.

  • Pediatrics Physician
  • Odessa, TX
National Provider Identifier
1740207604
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M1256 Issued in TX
Practice address
850 Tower Dr
Suite #110
Odessa, TX 79761-4238
Phone
(432) 332-0052
Fax
(432) 332-8082
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15688R LA
Pediatrics Physician 208000000X M1256 TX Primary

Addresses

Primary practice location

850 Tower Dr
Suite #110
Odessa, TX 79761-4238

Mailing address

850 Tower Dr
Suite #110
Odessa, TX 79761-4238
Phone (432) 332-0052

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

LicenseStateTypeSpecialty
15688RLAMDPediatrics Physician
M1256TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cnasuhoglu17941@direct.childrens.com

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1740207604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TOWER DR",
            "address_2": "SUITE #110",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614238",
            "telephone_number": "432-332-0052",
            "fax_number": "432-332-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TOWER DR",
            "address_2": "SUITE #110",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614238",
            "telephone_number": "432-332-0052",
            "fax_number": "432-332-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASUHOGLU",
        "first_name": "CEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "15688R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1256",
            "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 Jan 2, 2009; 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.