Active NPI
Odessa Surgical Associates PA
- Specialist
- Odessa, TX
National Provider Identifier
1962520049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ODESSA SURGICAL ASSOCIATES PA
- Practice address
- 4222 Wendover Ave Ste 800
Odessa, TX 79762-5915 - Phone
- (432) 550-4200
- Fax
- (432) 366-3311
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 21, 2022
- Organization subpart
- Yes
- Parent organization
- ODESSA SURGICAL ASSOCIATES PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terry Unruh
- Title
- Owner
- Phone
- (432) 550-4200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | TX | Primary |
Addresses
Primary practice location
4222 Wendover Ave Ste 800
Odessa, TX 79762-5915
Mailing address
4222 Wendover Ave Ste 800
Odessa, TX 79762-5915
Phone (432) 550-4200
Other names 1
- odessa surgical associatespa
National Provider Directory
National Provider Directory- Part of
- Odessa Surgical Associates
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.
-
- Specialist
- Odessa, TX
- NPI 1598741480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1962520049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4222 WENDOVER AVE STE 800",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625915",
"telephone_number": "432-550-4200",
"fax_number": "432-366-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 WENDOVER AVE STE 800",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625915",
"telephone_number": "432-550-4200",
"fax_number": "432-366-3311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODESSA SURGICAL ASSOCIATES PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ODESSA SURGICAL ASSOCIATES PA",
"enumeration_date": "2007-03-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "UNRUH",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "432-550-4200",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "odessa surgical associatespa",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Odessa, TX
- Odessa Primary Care PLLC
- Odessa Regional Hospital LP
- Odessa Regional Hospital LP
- Odessa Reproductive Medicine Center
- Odessa Sleep Associates
- Odessa Surgical Services, PLLC
- Odessa Texas Hospital Company LLC (Odessa Regional Medical Center)
- Odessa Texas Hospital Company LLC (Odessa Regional Medical Center)
- Odessa TX Caregiving LLC (Cornerstone Caregiving)
- Odessa Vision Center PLLC (Odessa Vision Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.