Organization Active NPI

Permian Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Odessa, TX
National Provider Identifier
1942472428
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D1123 Issued in TX
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100098601MedicaidTX
80350YOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Phillip R Zeeck MD Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.