Organization Active NPI

West Texas Spine PA

  • Orthopaedic Trauma Physician
  • Odessa, TX
National Provider Identifier
1811133259
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
J8732 Issued in TX
Legal business name
WEST TEXAS SPINE PA
Practice address
6010 E Highway 191
Suite 125
Odessa, TX 79762-5070
Phone
(432) 580-5888
Fax
(432) 580-5899
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Dr. Michael Logan Ramsey, M.D.
Title
Owner
Phone
(432) 580-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X J8732 TX Primary

Addresses

Primary practice location

6010 E Highway 191
Suite 125
Odessa, TX 79762-5070

Mailing address

6010 E Highway 191
Suite 125
Odessa, TX 79762-5070
Phone (432) 580-5888

Other identifiers 3

IdentifierTypeStateIssuer
8F4752OtherTXMEDICARE ID-TYPE UNSPECIFIED
124591209MedicaidTX
138203812MedicaidTX

National Provider Directory

National Provider Directory

Locations

5609 Deauville
Midland, TX 79706
Phone (432) 697-3629

221 N Lincoln Ave
Odessa, TX 79761
Phone (432) 580-5888

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1811133259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 E HIGHWAY 191",
            "address_2": "SUITE 125",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625070",
            "telephone_number": "432-580-5888",
            "fax_number": "432-580-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 E HIGHWAY 191",
            "address_2": "SUITE 125",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625070",
            "telephone_number": "432-580-5888",
            "fax_number": "432-580-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS SPINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-580-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "TX",
            "license": "J8732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "8F4752",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124591209",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138203812",
            "state": "TX"
        }
    ],
    "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 20, 2014; 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.