NPIMap

Organization Active NPI

Permian Occupational Medicine

  • Family Medicine Physician
  • Midland, TX
National Provider Identifier
1750515102
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8562 Issued in TX
Legal business name
PERMIAN OCCUPATIONAL MEDICINE
Practice address
301 Dodson St
Midland, TX 79701-6334
Phone
(432) 684-7780
Fax
(432) 684-7782
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 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

National Provider Directory

National Provider Directory
Tax ID family
International Locum Tenens2 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.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1750515102",
    "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": "PERMIAN OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "KINZIE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-684-7780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 13, 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.