Organization Active NPI

Pedi Cardio of West Texas

  • Pediatric Cardiology Physician
  • Odessa, TX
National Provider Identifier
1881841468
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
M1256 Issued in TX
Legal business name
PEDI CARDIO OF WEST TEXAS
Practice address
850 Tower Dr
Suite # 112
Odessa, TX 79761-4238
Phone
(432) 332-0052
NPI assigned
Aug 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Cem Nasuhoglu, M.D.
Title
Member of Business
Phone
(432) 332-0052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X M1256 TX Primary

Addresses

Primary practice location

850 Tower Dr
Suite # 112
Odessa, TX 79761-4238

Mailing address

850 Tower Dr
Suite112
Odessa, TX 79761-4238
Phone (432) 332-0052

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1881841468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TOWER DR",
            "address_2": "SUITE112",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614238",
            "telephone_number": "432-332-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TOWER DR",
            "address_2": "SUITE # 112",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614238",
            "telephone_number": "432-332-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDI CARDIO OF WEST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "NASUHOGLU",
        "authorized_official_first_name": "CEM",
        "authorized_official_title_or_position": "MEMBER OF BUSINESS",
        "authorized_official_telephone_number": "432-332-0052",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "M1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 3, 2011; 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.