Tabatha J Pittman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09082 Issued in TX

Practice address

6030 W University Blvd
Odessa, TX 79764-8530

Phone

(432) 640-6600

Fax

(432) 640-4790

NPI assigned

Dec 13, 2006

Last updated

May 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Ector County Hospital District

  dba MCH Urgent Care

  • Urgent Care Clinic/Center
  • Odessa, TX
  • NPI 1366680555
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1942361936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-6700",
            "fax_number": "432-640-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 W UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797648530",
            "telephone_number": "432-640-6600",
            "fax_number": "432-640-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 E 42nd St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797625803",
            "country_code": "US",
            "telephone_number": "432-640-2749",
            "fax_number": "432-640-2746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Jbs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797628126",
            "country_code": "US",
            "telephone_number": "432-640-6700",
            "fax_number": "432-640-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "TABATHA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339261502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard John Pietila, MD
• Heriberto Pina-Anaya, FNP-C
• Pinnacle Health Facilities Xxii LP (Buena Vida Nursing and Rehab - Odessa)
• Jeffery M Pinnow, M.D.
• Karina Pique, DO
• Planned Parenthood of West Texas
• Hanah Lee Pleines, FNP
• Tandi Leigh Poitevint, M.S.,CCC/SLP
• James Harold Pollard, OTR
• Jolie Suzanne Pollard, MS,CCC/SLP

• Physician Assistant in Odessa, TX
• Providers in Odessa, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.