Active NPI
John H Doran, M.D.
- Internal Medicine Physician
- Odessa, TX
National Provider Identifier
1891860342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E0890
- Practice address
- 8050 E Highway 191
Suite 200
Odessa, TX 79765-8607 - Phone
- (432) 337-5411
- Fax
- (432) 337-0301
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E0890 | TX | Primary |
Addresses
Primary practice location
8050 E Highway 191
Suite 200
Odessa, TX 79765-8607
Mailing address
8050 E Highway 191
Suite 200
Odessa, TX 79765-8607
Phone (432) 337-5411
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124549006 | Medicaid | TX | |
| 8H9550 | Other | TX | BLUE CROSS BLUE SHIELD |
| 100151103 | Other | TX | FIRST CARE NETWORK |
| P00034657 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0890 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weldon F Butler MD PA | Past | Accepting new patients | |
| Covenant Medical Group | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Odessa, TX
- NPI 1699941765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1891860342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8050 E HIGHWAY 191",
"address_2": "SUITE 200",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658607",
"telephone_number": "432-337-5411",
"fax_number": "432-337-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 E HIGHWAY 191",
"address_2": "SUITE 200",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658607",
"telephone_number": "432-337-5411",
"fax_number": "432-337-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAN",
"first_name": "JOHN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E0890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124549006",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8H9550",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE NETWORK",
"identifier": "100151103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00034657",
"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 Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.