Individual provider Active NPI

Pamela A McQuillin, M.D.

  • Obstetrics & Gynecology Physician
  • Odessa, TX
National Provider Identifier
1811990088
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L1389 Issued in TX
Practice address
1330 E 8TH St Ste 420
Odessa, TX 79761-4733
Phone
(432) 580-9191
Fax
(949) 862-7691
NPI assigned
May 23, 2005
Last updated
Dec 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L1389 TX Primary

Addresses

Primary practice location

1330 E 8TH St Ste 420
Odessa, TX 79761-4733

Mailing address

1330 E 8TH St Ste 420
Odessa, TX 79761-4733
Phone (432) 580-9191

Other identifiers 3

IdentifierTypeStateIssuer
131487101OtherTXFIRSTCARE
0075JEOtherTXBLUE CROSS BLUE SHIELD
150797201MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040123000863 TX Practitioner - Obstetrics/Gynecology 7719889245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1330 E 8TH St
Suite 420
Odessa, TX 79761-4733
Phone (432) 580-9191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela a. McQuillin, M.D., P.a. Obstetrics & Gynecology CurrentSince Mar 27, 2003 Accepting new patients

Locations

1330 E 8th St
Ste 420
Odessa, TX 79761
Phone (432) 580-9191

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1811990088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E 8TH ST STE 420",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614733",
            "telephone_number": "432-580-9191",
            "fax_number": "949-862-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E 8TH ST STE 420",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614733",
            "telephone_number": "432-580-9191",
            "fax_number": "949-862-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUILLIN",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L1389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "131487101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0075JE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150797201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.