John M Worrell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C6561 Issued in TX

Practice address

1908 W Wall St
Ste.100
Midland, TX 79701-6505

Phone

(432) 686-7344

Fax

(432) 686-1833

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770656746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 W WALL ST STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016565",
            "telephone_number": "432-686-7344",
            "fax_number": "432-686-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 W WALL ST",
            "address_2": "STE.100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016505",
            "telephone_number": "432-686-7344",
            "fax_number": "432-686-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRELL",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "C6561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112155001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniela Wong Duarte, PA-S
• Barbara Jean Wood, M.D.
• Jerry Wood, R. PH.
• Alexis Woodfin
• Rebecca Sileshi Workalemahu, PA-S
• Marnie D Wortham, LOT
• Michelle Wright, LPC
• WT Anesthesia, PC
• WTX 1-Spine Chiropractic, LLC (1-Spine Chiropractic)
• WX Transport LLC

• Family Medicine Physician in Midland, TX
• Providers in Midland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.