Active NPI
West Texas Medical Associates
- Certified Registered Nurse Anesthetist
- San Angelo, TX
National Provider Identifier
1750544367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- WEST TEXAS MEDICAL ASSOCIATES
- Practice address
- 3605 Executive Dr
San Angelo, TX 76904 - Phone
- (325) 949-9555
- NPI assigned
- Jul 3, 2008
- Organization subpart
- Yes
- Parent organization
- WEST TEXAS MEDICAL ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tommy McMahon
- Title
- Administrator
- Phone
- (325) 949-9555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
3605 Executive Dr
San Angelo, TX 76904
Mailing address
3605 Executive Dr
San Angelo, TX 76904-6884
Phone (325) 949-9555
Other practice location 1
3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 949-9555
Other practice location 2
3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 949-9555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135031601 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- West Texas Medical Asso
- Part of
- West Texas Medical Asso
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- San Angelo, TX
- NPI 1144485756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543968000000",
"number": "1750544367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 EXECUTIVE DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769046884",
"telephone_number": "325-949-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 EXECUTIVE DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "76904",
"telephone_number": "325-949-9555"
}
],
"practiceLocations": [
{
"address_1": "3555 Knickerbocker Rd",
"address_purpose": "LOCATION",
"city": "San Angelo",
"state": "TX",
"postal_code": "769047610",
"country_code": "US",
"telephone_number": "325-949-9555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3555 Knickerbocker Rd",
"address_purpose": "LOCATION",
"city": "San Angelo",
"state": "TX",
"postal_code": "769047610",
"country_code": "US",
"telephone_number": "325-949-9555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WEST TEXAS MEDICAL ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST TEXAS MEDICAL ASSOCIATES",
"enumeration_date": "2008-07-03",
"last_updated": "2018-12-05",
"status": "A",
"authorized_official_last_name": "MCMAHON",
"authorized_official_first_name": "TOMMY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "325-949-9555"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135031601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.