Active NPI
Permian Orthopaedic Associates
- Orthopaedic Surgery Physician
- Odessa, TX
National Provider Identifier
1942472428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- D1123
- Legal business name
- PERMIAN ORTHOPAEDIC ASSOCIATES
- Practice address
- 500 N Washington Ave
Suite 400
Odessa, TX 79761-4401 - Phone
- (432) 337-6617
- Fax
- (432) 337-4905
- NPI assigned
- Mar 25, 2008
- Last updated
- Nov 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gale Sides
- Title
- Office Manager
- Phone
- (432) 337-6617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | D1123 | TX | Primary |
Addresses
Primary practice location
500 N Washington Ave
Suite 400
Odessa, TX 79761-4401
Mailing address
P O Box 593
Odessa, TX 79760-0593
Phone (432) 337-6617
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098601 | Medicaid | TX | |
| 80350Y | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Phillip R Zeeck MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Midland, TX
- NPI 1043270085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1942472428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 593",
"city": "ODESSA",
"state": "TX",
"postal_code": "797600593",
"telephone_number": "432-337-6617",
"fax_number": "432-337-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N WASHINGTON AVE",
"address_2": "SUITE 400",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614401",
"telephone_number": "432-337-6617",
"fax_number": "432-337-4905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERMIAN ORTHOPAEDIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-25",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "SIDES",
"authorized_official_first_name": "GALE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "432-337-6617",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "D1123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100098601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80350Y",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Phillip R Zeeck MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Odessa, TX
- Permian Gastroenterology Associates LLP
- Permian Hand and Plastic Surgery PLLC
- Permian Healthcare Inc (Star Oxygen & Medical Equipment Inc)
- Permian Imaging LLC
- Permian Nephrology Associates PA (Desert Milagro Dialysis Center)
- Permian Pathology Assoc
- Permian Pediatrics PA (Permian Pediatrics)
- Permian Premier Health Services Inc (Steward Medical Group of Texas)
- Permian Premier Health Services Inc
- Permian Pulmonary, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.