Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street...

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Medical Center Hospital: Medical Staff Services Update: 05/2019 Medical Staff Members (The information contained in the directory is provided by the physicians and subject to the change without notice. You should verify the accuracy of the posted information in the directory before utilizing it to send confidential or healthcare information) NPI : 1801839170 Department : Medical Center Hospital: Family Medicine/Family Medicine ProCare: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 08/11/2015 MCH ProCare 3001 JBS Parkway Odessa, TX 79762 Ph.| (432) 640-6783 Fax| (432) 640-4700 Getnet Aberra, MD NPI : 1225032899 Department : Medical Center Hospital: Medicine/Neurology Member Since : Medical Center Hospital: 11/07/2006 West Texas Neurology Clinic 318 N Alleghaney, Ste 302 Odessa, TX 79761 Ph.| (432) 332-8856 Fax| (432) 332-8860 Joseph Albert L. Abijay, MD NPI : 1386782266 Department : Medical Center Hospital: Medicine/Pulmonary Member Since : Medical Center Hospital: 02/04/1997 Permian Pulmonary 500 N. Washington, Suite 100 Odessa, TX 79761 Ph.| (432) 580-9444 Fax| (432) 580-9555 Joel L. Adams, MD

Transcript of Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street...

Page 1: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

Medical Staff Services Update: 05/2019

Medical Staff Members

(The information contained in the directory is provided by the physicians and subject to the change without notice. You should verify the accuracy of the posted information in the directory before utilizing it to send confidential or healthcare information)

NPI : 1801839170 Department : Medical Center Hospital: Family Medicine/Family Medicine ProCare: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 08/11/2015 MCH ProCare 3001 JBS Parkway Odessa, TX 79762 Ph.| (432) 640-6783 Fax| (432) 640-4700

Getnet Aberra, MD

NPI : 1225032899 Department : Medical Center Hospital: Medicine/Neurology Member Since : Medical Center Hospital: 11/07/2006 West Texas Neurology Clinic 318 N Alleghaney, Ste 302 Odessa, TX 79761 Ph.| (432) 332-8856 Fax| (432) 332-8860

Joseph Albert L. Abijay, MD

NPI : 1386782266 Department : Medical Center Hospital: Medicine/Pulmonary Member Since : Medical Center Hospital: 02/04/1997 Permian Pulmonary 500 N. Washington, Suite 100 Odessa, TX 79761 Ph.| (432) 580-9444 Fax| (432) 580-9555

Joel L. Adams, MD

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Medical Center Hospital:

NPI : 1336359132 Department : Medical Center Hospital: Radiology/Radiology Member Since : Medical Center Hospital: 11/01/2016 American Radiology Associates 712 N. Washington Ave Suite 101 Dallas, TX 75246 Ph.| (214) 826-8822 Fax|

Scott Adams, MD

NPI : 1598932410 Department : Medical Center Hospital: Pediatrics/Hospitalist Member Since : Medical Center Hospital: 02/02/2016 Doctor’s Hospital of Laredo 6423 MCPHERSON ROAD Laredo, TX 78041 Ph.| (956) 523-2000 Fax| (956) 726-5616

Omolara V. Aderinboye, MD

NPI : 1588693857 Department : Medical Center Hospital: Medicine/Gastroenterology Member Since : Medical Center Hospital: 10/05/2010 Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333-3433 Fax| (432) 333-3450

Venkata V. Adimoolam, MD

NPI : 1700915303 Department : Medical Center Hospital: Cardiology/Cardiology Member Since : Medical Center Hospital: 10/04/1994 Madhava Agusala, MD 318 N Alleghaney Ste 201 Odessa, TX 79761 Ph.| (432) 337-2714 Fax| (432) 337-2726

Madhava Agusala, MD

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Medical Center Hospital:

NPI : 1174691133 Department : Medical Center Hospital: Radiology/Oncology Member Since : Medical Center Hospital: 02/04/2015 Midland Oncology-Midland Allison Cancer Center 400 Rosalind Redfern Grover Pkwy., Suite 100 Midland, TX 79701 Ph.| (432) 685-1559 Fax| (432) 683-6973

Robin S. Akins, MD

NPI : 1922312230 Department : Medical Center Hospital: Pediatrics/Hospitalist Member Since : Medical Center Hospital: 03/11/2015 Covenant Hospital - Pediatric Hospitalist 500 W 4th Odessa, TX 79760 Ph.| (432) 640-1580 Fax| (432) 640-4012

Baraa Alabd Alrazzak, MD

NPI : 1972737898 Department : Medical Center Hospital: Family Medicine/Geriatric Medicine Member Since : Medical Center Hospital: 09/03/2013 Texas Tech University Health Science Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-5350

Nimat Alam, MD

NPI : 1063859189 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 11/01/2016 MCH ProCare 8050 E Highway 191 Ste 200 Odessa, TX 79762 Ph.| (432) 337-5411 Fax| (432) 561-5014

Jorge Alamo, MD

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Medical Center Hospital:

NPI : 1013320050 Department : Medical Center Hospital: Pediatrics/Hospitalist Member Since : Medical Center Hospital: 11/07/2017 Midland Memorial Hospital 400 Rosalind Redfern Grover PKWY Midland, TX 79701 Ph.| Fax|

Mohammed Aljarwi, MD

NPI : 1124017173 Department : Medical Center Hospital: Cardiology/Cardiology ProCare: Cardiology/Cardiology Member Since : Medical Center Hospital: 09/09/1980 MCH ProCare 720 N. Golder Avenue Odessa, TX 79761 Ph.| (432) 337-3117 Fax| (432) 640-2868

Sudhir Amaram, MD

NPI : 1932101680 Department : Medical Center Hospital: Radiology/Radiology ProCare: Radiology/Radiology Member Since : Medical Center Hospital: 09/10/1996 MCH ProCare 500 W. 4th St Odessa, TX 79761 Ph.| (432) 640-2401 Fax| (432) 640-4606

Errol C. Anderson, MD

NPI : 1265467849 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 06/11/2013 Texas Tech University Health Sciences Center 701 W. 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 334-9415

Joy K. Anderson, MD

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Medical Center Hospital:

NPI : 1285838870 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 08/06/2013 TTUHSC - FM Dept. 701 W 5th St Odessa, TX 79763 Ph.| (432) 703-5511 Fax| (432) 335-5350

Liliana C. Andrade, MD

NPI : 1023007085 Department : Medical Center Hospital: Cardiology/Cardiology ProCare: Cardiology/Cardiology Member Since : Medical Center Hospital: 10/09/2001 MCH ProCare 720 N Golder Ave Odessa, TX 79761 Ph.| (432) 337-3117 Fax| (432) 337-3448

Manohar R. Angirekula, MD

NPI : 1528299872 Department : Medical Center Hospital: Medicine/Nephrology Member Since : Medical Center Hospital: 10/07/2014 Dr. Ansari 4911 Andrews Hwy Suite B Midland, TX 79701 Ph.| (432) 279-0905 Fax| (432) 687-0528

Asif A. Ansari, MD

NPI : 1487668489 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 04/01/2008 Faye Armstrong -Paap, MD 540 W. 5th Street; Suite 400 Odessa, TX 79761 Ph.| (432) 580-0300 Fax| (432) 580-0306

Faye G. Armstrong-Paap, MD

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Medical Center Hospital:

NPI : 1891962056 Department : Medical Center Hospital: Pediatrics/Hospitalist Member Since : Medical Center Hospital: 04/08/2015 Convent Hospital 500 W 4th Odessa, TX 79760 Ph.| (432) 640-1580 Fax| (432) 640-4012

Adebayo O. Atolagbe, MD

NPI : 1487637344 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 12/04/2012 MCH ProCare 315 Golder Ave Odessa, TX 79763 Ph.| (432) 337-9507 Fax| (432) 640-1875

Michael P. Auringer, MD

NPI : 1376556019 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 02/16/2011 Premier Family Care I, inc. 400 Rosalind Redfern Grover Pkwy Midland, TX 79701 Ph.| (432) 221-2107 Fax| (432) 682-1707

Staton L. Awtrey, MD

NPI : 1306934690 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 04/02/2019 Envision Physician Services 540 West 5th St Odessa, TX 79762 Ph.| (432) 332-7500 Fax|

Alexander Axelrad, MD

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Medical Center Hospital:

NPI : 1336400019 Department : Medical Center Hospital: Medicine/Critical Care Member Since : Medical Center Hospital: 11/07/2017 MCH ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-4000 Fax| (432) 640-4606

Krishna Ayyagari, MD

NPI : 1093937948 Department : Medical Center Hospital: Medicine/Critical Care ProCare: Medicine/Critical Care Member Since : Medical Center Hospital: 07/10/2007 MCH ProCare 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-2401 Fax| (432) 640-4606

Nikolay A. Azarov, MD

NPI : 1518220771 Department : Medical Center Hospital: Medicine/Oncology Member Since : Medical Center Hospital: 05/01/2018 Texas Oncology 500 West 3rd Street Odessa, TX 79761 Ph.| (432) 335-8275 Fax|

Kelash Bajaj, MD

NPI : 1972829331 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 09/01/2014 Texas Tech University Health Science Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 334-9415

David Banh, MD

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Medical Center Hospital:

NPI : 1679737605 Department : Medical Center Hospital: Medicine/Hospitalist ProCare: Medicine/Internal Medicine Member Since : Medical Center Hospital: 12/06/2011 MCH ProCare 500 W 4th Street Odessa, TX 79761 Ph.| (432) 640-2834 Fax| (432) 640-2897

Sudhir Bare, MD

NPI : 1649257429 Department : Medical Center Hospital: Pediatrics/Hospitalist Member Since : Medical Center Hospital: 02/14/2017 Covenant Medical Grp Floyd Barry MD 500 W 4th 1911 N MLK,Jr Blvd Odessa, TX 79761 Waco, TX 76704 Ph.| (432) 640-1580 (254) 313-5000 Fax| (432) 640-4012 (254) 313-5099

Floyd L. Barry, MD

NPI : 1588851232 Department : Medical Center Hospital: Medicine/Nephrology Member Since : Medical Center Hospital: 02/13/2018 Permian Nephrology Associates 3302 W. Golf Course Road Midland, TX 79703 Ph.| (432) 522-2304 Fax| (432) 522-2307

Mamoun E. Bashir, MD

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Medical Center Hospital:

NPI : 1437387479 Department : Medical Center Hospital: Medicine/Critical Care ProCare: Medicine/Critical Care Member Since : Medical Center Hospital: 09/02/2014 MCH ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2401 Fax| (432) 640-4606

Alexander A. Bastidas Palacios, MD

NPI : 1447339171 Department : Medical Center Hospital: Anesthesiology/Anesthesiology ProCare: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 02/09/1982 MCH ProCare 500 W. 4th St. Odessa, TX 79761 Ph.| (432) 640-2401 Fax| (432) 640-4606

Kenneth H. Batch, MD

NPI : 1437269941 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 10/06/2015 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 335-2222 Fax| (432) 335-1693

John D. Bauer, MD

NPI : 1841292976 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 04/07/1998 Permian Pediatrics 303 East 7th Street Odessa, TX 79761 Ph.| (432) 582-2929 Fax| (432) 331-9987

Violeta F. Bello, MD

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Medical Center Hospital:

NPI : 1881784643 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 06/07/2005 Jose B Benigno Medical Clinic, P.A 115 W 42nd Street Odessa, TX 79764 Ph.| (432) 367-4817 Fax| (432) 367-4813

Jose B. Benigno, Jr, MD

NPI : 1669569596 Department : Medical Center Hospital: Pediatrics/Neonatal / Perinatal Member Since : Medical Center Hospital: 07/26/1990 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 703-5310 Fax| (432) 335-1537

Robert E. Bennett, Jr, MD

NPI : 1518999671 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 07/03/2012 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 703-5200 Fax| (432) 335-5350

Timothy J. Benton, MD

NPI : 1013220631 Department : Medical Center Hospital: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 08/09/2016 MCH ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2015 Fax| (432) 640-2190

Abhishek Bhari Jayadevappa, MD

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Medical Center Hospital:

NPI : 1427101906 Department : Medical Center Hospital: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 08/09/2016 MCH ProCare 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1119 Fax| (432) 640-1057

Lawrence D. Blanchard, MD

NPI : 1467441428 Department : Medical Center Hospital: Cardiology/Cardiology ProCare: Cardiology/Cardiology Member Since : Medical Center Hospital: 02/10/2004 MCH ProCare 720 Golder Avenue Odessa, TX 79761 Ph.| (432) 337-3117 Fax| (432) 640-2868

Fernando Boccalandro, MD

NPI : 1003075664 Department : Medical Center Hospital: Medicine/Endocrinology Member Since : Medical Center Hospital: 09/02/2014 West Texas Endocrinology & Diabetes 3305 Andrews Highway Midland, TX 79703 Ph.| (432) 262-3880 Fax| (432) 689-6901

Ravi C. Borra, MD

NPI : 1386686558 Department : Medical Center Hospital: Medicine/Oncology Member Since : Medical Center Hospital: 07/09/2002 Texas Oncology 500 W 3rd ST Odessa, TX 79761 Ph.| (432) 335-8275 Fax| (432) 334-0687

Renuka Borra, MD

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Medical Center Hospital:

NPI : 1356518146 Department : Medical Center Hospital: Surgery/Orthopedic ProCare: Surgery/Surgery Member Since : Medical Center Hospital: 09/04/2012 MCH ProCare 519 N Lincoln Odessa, TX 79761 Ph.| (432) 640-6446 Fax| (432) 640-6493

Vijay Borra, MD

NPI : 1679537260 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 07/07/2009 Basin Emergency Physicians 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1189 Fax| (432) 640-2205

Sudip K. Bose, MD

NPI : 1013320332 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 09/05/2017 ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2401 Fax|

Matthew Brigmon, MD

NPI : 1104950658 Department : Medical Center Hospital: Medicine/Neurology Member Since : Medical Center Hospital: 06/16/1997 Carl D. Brown, DO 8050 E. Hwy 191, Ste 205 Odessa, TX 79765 Ph.| (432) 332-2858 Fax| (432) 333-3697

Carl D. Brown, DO

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Medical Center Hospital:

NPI : 1811086986 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 05/03/2005 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-5233 Fax| (432) 335-5219

Elisa L. Brown, MD

NPI : 1003110834 Department : Medical Center Hospital: Surgery/Podiatry Member Since : Medical Center Hospital: 02/04/2015 Permian Basin Foot and Ankle 4214 Andrews Hwy Ste 104 Midland, TX 79703 Ph.| (432) 614-1799 Fax| (888) 828-6791

Justin L. Brown, DPM

NPI : 1316189921 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 07/10/2018 Basin Orthopedics 1340 E. 7th Street Odessa, TX 79761 Ph.| (432) 332-2663 Fax| (432) 335-8849

Matthew S. Brown, MD

NPI : 1992834261 Department : Medical Center Hospital: Surgery/Podiatry Member Since : Medical Center Hospital: 02/16/2011 Basin Podiatry, PA 2626 JBS Parkway Suite A-100 Odessa, TX 79761 Ph.| (432) 550-3668 Fax| (432) 550-3671

Hillary E. Brunner, DPM

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Medical Center Hospital:

NPI : 1063582609 Department : Medical Center Hospital: Anesthesiology/Anesthesiology ProCare: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 11/05/2002 MCH ProCare 500 W. 4th Street Odessa, TX 79760 Ph.| (432) 640-2017 Fax| (432) 640-4606

Joseph F. Bryan II, MD

NPI : 1679523658 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 06/04/1996 Jose D Bueno M.D., P.A. 808 Tower Drive, Suite 1 Odessa, TX 79761 Ph.| (432) 580-4170 Fax| (432) 580-4091

Jose D. Bueno, MD

NPI : 1093803942 Department : Medical Center Hospital: Medicine/Endocrinology Member Since : Medical Center Hospital: 08/02/1994 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-1777 Fax| (432) 335-1815

James K. Burks, MD

NPI : 1457648362 Department : Medical Center Hospital: Family Medicine/Hospitalist ProCare: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 09/02/2014 MCH ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2401 Fax| (432) 640-2190

Domingo S. Caparas, Jr., MD

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Medical Center Hospital:

NPI : 1285045690 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 08/08/2017 MCH ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2834 Fax| (432) 640-2897

Enrique Carrizales, IV, DO

NPI : 1063417632 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 01/23/2017 MCH Procare Family Medicine MCH ProCare 3001 JBS Parkway 1940 E. 42nd Street, Suite A Odessa, TX 79761 Odessa, TX 79762 Ph.| (432) 640-1878 (432) 640-6742 Fax| (432) 640-1875 (432) 640-4713

Bonnie C. Carter, MD

NPI : 1831267590 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 11/10/1987 Diana Casanova, MD 601 E 2nd Street ; STE F Odessa, TX 79761 Ph.| (432) 332-1273 Fax| (432) 367-8687

Diana Casanova, MD

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Medical Center Hospital:

NPI : 1194088914 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 10/04/2016 Manuel Castillo, MD 303 E 7th St Odessa, TX 79761 Ph.| (432) 582-2929 Fax| (646) 500-2506

Manuel Castillo, MD

NPI : 1952379414 Department : Medical Center Hospital: Surgery/Otolaryngology ProCare: Surgery/Otolaryngology Member Since : Medical Center Hospital: 02/28/1989 MCH ProCare 540 West 5th Street Odessa, TX 79761 Ph.| (432) 640-6360 Fax| (432) 640-4759

Ralph Cepero, MD

NPI : 1073833075 Department : Medical Center Hospital: Medicine/Oncology Member Since : Medical Center Hospital: 09/06/2016 Texas Oncology 400 Rosalind Redfern Grover Pkwy., Suite 100 Midland, TX 79701 Ph.| (432) 685-1559 Fax| (432) 683-6973

Phillip Chae, MD

NPI : 1942523626 Department : Medical Center Hospital: Medicine/Gastroenterology ProCare: Medicine/Gastroenterology Member Since : Medical Center Hospital: 08/05/2014 MCH ProCare 540 W. 5th Street Odessa, TX 79761 Ph.| (432) 640-3007 Fax| (432) 640-4748

Kalyan Chakrala, DO

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Medical Center Hospital:

NPI : 1336116938 Department : Medical Center Hospital: Medicine/Dermatology Member Since : Medical Center Hospital: 12/12/1978 Chappell Rosso Dermatology PA 4040 Medical Park Dr. Odessa, TX 79765 Ph.| (432) 333-6603 Fax| (432) 333-8014

Robert L. Chappell, MD

NPI : 1689610164 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 08/01/2006 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-5354

Ramachandra R. Chemitiganti, MD

NPI : 1942512934 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 12/05/2017 Basin Emergency Physicians, PLLC 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-2201 Fax|

Aaron K. Chen, MD

NPI : 1164689634 Department : Medical Center Hospital: Medicine/Hospitalist ProCare: Medicine/Hospitalist Member Since : Medical Center Hospital: 09/07/2010 MCH ProCare 500 W. 4th St Odessa, TX 79761 Ph.| (432) 640-2834 Fax| (432) 640-2897

Rajnarsing R. Chennamaneni, MD

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Medical Center Hospital:

NPI : 1659582948 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 02/10/2017 Midland Plastic Surgery Center 701 tradewinds Blvd Midland, TX 79705 Ph.| (432) 618-6772 Fax| (432) 618-6775

Thomas K. Cook, MD

NPI : 1497708291 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 09/04/2018 Texas Tech HSC Odessa 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax|

Donald E. Crockett, Jr., MD

NPI : 1568452084 Department : Medical Center Hospital: Surgery/Orthopedic Member Since : Medical Center Hospital: 06/07/2005 Acute Surgical Care Specialists 540 West 5th St Ste 350 Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Benjamin J. Cunningham, MD

NPI : 1619071925 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 09/01/1992 Acute Surgical Care Specialist 540 West 5th St Ste 350 Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Craig O. Daniel, MD

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Medical Center Hospital:

NPI : 1669449617 Department : Medical Center Hospital: Medicine/Pulmonary Member Since : Medical Center Hospital: 02/03/2000 Odessa Medical Enterprises, PLLC 420 E 6th ST Odessa, TX 79761 Ph.| (432) 332-5557 Fax| (432) 332-5558

Khavar J. Dar, MD

NPI : 1396010526 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 02/02/2016 Permier Premier 420 E 6th st Odessa, TX 79761 Ph.| (432) 582-8670 Fax| (432) 582-8671

Vivekanand Dasari, MD

NPI : 1982608964 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 10/03/2000 Donal Davenport, DO Office 540 W 5th St Ste 470 Odessa, TX 79761 Ph.| (432) 580-8330 Fax| (432) 580-8333

Donald D. Davenport, Jr., DO

NPI : 1447282645 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 09/11/2007 Texas Tech University Health Sciences Center 701 W. 5th Odessa, TX 79761 Ph.| (432) 703-5340 Fax| (432) 335-1815

William R. Davis, MD

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Medical Center Hospital:

NPI : 1548289275 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 11/01/2016 MCH ProCare 8050 E. Hwy 191 Odessa, TX 79765 Ph.| (432) 640-1878 Fax| (432) 943-4767

David W. Davison, MD

NPI : 1548207731 Department : Medical Center Hospital: Surgery/Podiatry Member Since : Medical Center Hospital: 04/04/2000 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 703-5201 Fax| (432) 335-5219

Tara Y. Deaver, DPM

NPI : 1578557468 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 12/09/2008 MCH ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2401 Fax| (432) 640-4606

Jose G. Delgado, MD

NPI : 1124103338 Department : Medical Center Hospital: Surgery/Neurology Member Since : Medical Center Hospital: 12/09/2003 Srikanth Deme, MD., P.A 2000 W. Ohio Midland, TX 79707 Ph.| (432) 682-4307 Fax|

Srikanth R. Deme, MD

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Medical Center Hospital:

NPI : 1821121112 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 12/05/2017 TTUHSC Family Medicine 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax|

Marenda Dent, DO

NPI : 1063428647 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 06/08/1999 Manisha Desai, MD 420 East 6th Street Odessa, TX 79761 Ph.| (432) 580-0985 Fax| (432) 337-2666

Manisha M. Desai, MD

NPI : 1477753218 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 09/07/2010 Basin Emergency Physicians 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1189 Fax| (432) 640-2205

Rebecca W. Diaz, MD

NPI : 1396807491 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 10/09/2007 Basin Emergency Physicians 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1189 Fax| (432) 640-2205

Rolando Diaz, Jr., MD

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Medical Center Hospital:

NPI : 1215254156 Department : Medical Center Hospital: Surgery/Orthopedic Member Since : Medical Center Hospital: 11/07/2017 Midland Texas Orthopedic Group Inc 5615 Deauville Blvd Midland, TX 79706 Ph.| (432) 686-0321 Fax| (432) 686-0664

Jessie Dickens, MD

NPI : 1629333547 Department : Medical Center Hospital: Medicine/Psychiatry Member Since : Medical Center Hospital: 02/13/2018 Texas Tech Physicians 314 Secor St. Midland, TX 79701 Ph.| (432) 620-1160 Fax| (432) 620-1156

Srinivasa Donthi Reddy, MD

NPI : 1215030333 Department : Medical Center Hospital: Surgery/Neurology Member Since : Medical Center Hospital: 08/03/2004 West Texas Neurosurgery 8050 E Highway 191, Suite 212 Odessa, TX 79765 Ph.| (432) 580-4700 Fax| (432) 332-2678

John K. Dorman, MD

NPI : 1679574099 Department : Medical Center Hospital: Surgery/Urology Member Since : Medical Center Hospital: 05/10/2011 West Texas Urology, PA 2706 W Cuthbert Bdg C Midland, TX 79701 Ph.| (432) 687-0311 Fax| (432) 687-0312

Michael J. Dragun, MD

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Medical Center Hospital:

NPI : 1427131598 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 11/06/2018 Envision Physician Services 3150 Matlock Road Arlington, TX 76015 Ph.| (817) 375-9790 Fax| (817) 375-9791

Therese M. Duane, MD

NPI : 1366641789 Department : Medical Center Hospital: Surgery/Orthopedic Member Since : Medical Center Hospital: 05/02/2017 Basin Orthopedic Surgical Specialists 1340 E. 7th Street Odessa, TX 79761 Ph.| (432) 332-2663 Fax| (432) 335-8849

Bradley W. Dyrstad, MD

NPI : 1255521241 Department : Medical Center Hospital: Surgery/Pediatric Dentistry Member Since : Medical Center Hospital: 06/09/2009 Joel Edwards, DDS 1508 Grandview Dr. Suite 5 Odessa, TX 79761 Ph.| (432) 272-1190 Fax| (800) 532-0728

Joel T. Edwards, DDS

NPI : 1912155979 Department : Medical Center Hospital: Surgery/Pediatric Dentistry Member Since : Medical Center Hospital: 11/05/2013 Basin Pediatric Dentistry 5016 Briarwood Ave Midland, TX 79707 Ph.| (432) 699-2044 Fax| (432) 205-0007

Zachary T. Ellis, DDS

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Medical Center Hospital:

NPI : 1548689912 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 02/12/2019 UAMS 4301 W MARKHAM ST Little Rock, AR 72205 Ph.| (501) 686-5162 Fax|

Sridhar R. Enuganti, MD

NPI : 1356885065 Department : Medical Center Hospital: Surgery/Dentistry Member Since : Medical Center Hospital: 09/04/2018 Permian Basin Oral Surgery 8101 Dorado Dr Odessa, TX 79765 Ph.| (432) 333-6585 Fax|

Helaman Erickson, MD

NPI : 1013021146 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 02/04/2003 Ghassan Fanous, MD Ghassan Fanous, M.D. 401 E . 6th Street 401 E. 6th Street Odessa, TX 79761 Odessa, TX 79761 Ph.| (432) 582-2280 (432) 582-2280 Fax| (432) 331-9981 (432) 331-9981

Ghassan N. Fanous, MD

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Medical Center Hospital:

NPI : 1861784399 Department : Medical Center Hospital: Cardiology/Cardiology Member Since : Medical Center Hospital: 08/07/2018 MCH ProCare Odessa Heart Institute 540 W. 5th Street Odessa, TX 79761 Ph.| (432) 337-3117 Fax| (432) 640-6366

Adam Farber, MD

NPI : 1285603084 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 09/05/2017 Acute Surgical Care Specialists 540 W. 5th Street Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Stephen Flaherty, MD

NPI : 1962722009 Department : Medical Center Hospital: Family Medicine/Geriatric Medicine Member Since : Medical Center Hospital: 09/02/2014 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 703-5241 Fax| (432) 335-5303

Anna Marie T. Francisco, MD

NPI : 1922009661 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 08/02/1994 Matthew B. Furst, MD 318 N Alleghaney Ave Ste 400 Odessa, TX 79761 Ph.| (432) 580-8044 Fax| (432) 580-7820

Matthew B. Furst, MD

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Medical Center Hospital:

NPI : 1962638080 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 03/12/2019 Envision Physician Services 540 W. 5th Street Odessa, TX 79761 Ph.| (432) 332-7500 Fax|

Alyssa Gans, MD

NPI : 1497801476 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 07/02/2013 MCH ProCare 375 N. Sam Houston Odessa, TX 79761 Ph.| (432) 640-2491 Fax| (432) 640-2493

Avelino A. Garcia, MD

NPI : 1275683484 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 10/01/1996 John Garcia, MD 2453 E. 11th Odessa, TX 79761 Ph.| (432) 582-0300 Fax| (432) 582-0306

John T. Garcia, MD

NPI : 1134345721 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 05/01/2018 TTUHSC 701 W. 5th Street Odessa, TX Ph.| Fax|

Venkataramana Garikiparthy, MD

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Medical Center Hospital:

NPI : 1497748347 Department : Medical Center Hospital: Surgery/Orthopedic Member Since : Medical Center Hospital: 09/15/1981 Orlando T. Garza, MD 500 N Washington, Suite 400 Odessa, TX 79761 Ph.| (432) 337-6617 Fax| (432) 337-4905

Orlando T. Garza, MD

NPI : 1083656078 Department : Medical Center Hospital: Medicine/Oncology Member Since : Medical Center Hospital: 02/01/2005 Texas Oncology 500 West 3rd St. Odessa, TX 79761 Ph.| 432-335-8275 Fax| 432-334-0687

Timothy K. George, MD

NPI : 1376537951 Department : Medical Center Hospital: Medicine/Pulmonary Member Since : Medical Center Hospital: 08/07/1991 Amaranath Ghanta, MD 600 N. Washington Avenue Odessa, TX 79761 Ph.| (432) 337-5223 Fax| (432) 333-5159

Amaranath Ghanta, MD

NPI : 1598828824 Department : Medical Center Hospital: Medicine/Nephrology Member Since : Medical Center Hospital: 02/06/2007 Comprehensive Kidney Institute of West Texas 318 N. Alleghaney Ave, Ste 200 Odessa, TX 79761 Ph.| (432) 558-0497 Fax| (432) 558-0498

Ronald O. Gibbons, MD

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Medical Center Hospital:

NPI : 1558392779 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 05/09/2007 Premier Physicians 2402 W. Wall Midland, TX 79701 Ph.| (432) 688-7700 Fax| (432) 685-8286

Juan C. Gil, MD

NPI : 1255539086 Department : Medical Center Hospital: Anesthesiology/Anesthesiology ProCare: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 10/09/2007 MCH ProCare 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-2401 Fax| (432) 640-4606

Meghana R. Gillala, MD

NPI : 1669473559 Department : Medical Center Hospital: Medicine/Internal Medicine ProCare: Medicine/Internal Medicine Member Since : Medical Center Hospital: 06/09/2015 MCH Professional Care 8050 E. Highway 191 Odessa, TX 79760 Ph.| (432) 337-5411 Fax| (432) 561-5014

Santiago Giraldo, MD

NPI : 1699743591 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 02/14/2017 Odessa Surgical Services 540 W 5th St. #470 Odessa, TX 79761 Ph.| (432) 653-0094 Fax| (432) 580-8330

Darren R. Glass, MD

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Medical Center Hospital:

NPI : 1366625683 Department : Medical Center Hospital: Medicine/Internal Medicine ProCare: Medicine/Internal Medicine Member Since : Medical Center Hospital: 11/02/2010 MCH ProCare 840 W Clements St Odessa, TX 79763 Ph.| (432) 333-3888 Fax| (432) 335-3707

Sreedevi Godey, MD

NPI : 1588079388 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 08/08/2017 MCH ProCare Hospitalist 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2834 Fax| (432) 640-2897

Adriana Gomez, MD

NPI : 1386606721 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 07/01/2008 Alfonso Gonzalez, MD 501 N. Bernice Ave. Odessa, TX 79763 Ph.| (432) 333-1300 Fax| (432) 333-1306

Alfonso I. Gonzalez, MD

NPI : 1427283415 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 08/07/2012 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-1537

Dinesh N. Gowda, MD

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Medical Center Hospital:

NPI : 1245484534 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 09/05/2017 EmCare Surgical Services 540 W. 5th Street El Paso, TX 79925 Ph.| (432) 332-7500 Fax|

Leila Green, MD

NPI : 1710912860 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 09/06/2016 Acute Sugical Care Specialists 540 W. 5th Street Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Kathy Grove, MD

NPI : 1568781268 Department : Medical Center Hospital: Surgery/Orthopedic Member Since : Medical Center Hospital: 12/06/2016 290 E. Main St Smithtown, NY 11787 Ph.| (631) 361-5302 Fax| (631) 361-8607

Phillip T. Guillen, MD

NPI : 1447271366 Department : Medical Center Hospital: Anesthesiology/Pain Management Member Since : Medical Center Hospital: 10/09/2007 Advanced Pain Center, PA 801 N. Jackson Odessa, TX 79761 Ph.| (432) 333-5200 Fax| (432) 333-1800

Sai P. Gundlapalli, MD

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Medical Center Hospital:

NPI : 1568608198 Department : Medical Center Hospital: Medicine/Gastroenterology ProCare: Medicine/Gastroenterology Member Since : Medical Center Hospital: 06/09/2015 MCH ProCare 540 W. 5th St, Ste 460 Odessa, TX 79761 Ph.| (432) 333-1801 Fax| (432) 334-8714

Ashutosh Gupta, MD

NPI : 1568670495 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 02/04/2015 Rajesh Gutta, PA 2003 W. Wall Street Midland, TX 79701 Ph.| (432) 683-1863 Fax| (432) 570-8779

Rajesh Gutta, DDS

NPI : 1114192473 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 03/01/2016 Acute Surgical Care Specialists 540 West 5th St Ste 350 Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Joseph Hahn, MD

NPI : 1588777346 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 02/05/2008 Acute Surgical Care Specialists 540 West 5th St Ste 350 Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Michael Halpert, MD

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Medical Center Hospital:

NPI : 1689776643 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 02/12/2019 Basin Emergency Physicians, PLLC 500 W. 4th St. Odessa, TX 79761 Ph.| (432) 640-2228 Fax| (432) 640-2205

Wesley H. Hamilton, MD

NPI : 1255332722 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 07/10/1984 Norman Harris, MD 617 N. Tom Green Odessa, TX 79761 Ph.| (432) 337-2628 Fax| (432) 337-1737

Norman Harris, MD

NPI : 1134211931 Department : Medical Center Hospital: Radiology/Radiology Member Since : Medical Center Hospital: 08/20/2015 VRAD 11995 Singletree Ln Ste 500 Eden Prairie, MN 55344 Ph.| (952) 595-1100 Fax| (952) 935-2757

Charles S. Henry, MD

NPI : 1982861050 Department : Medical Center Hospital: Family Medicine/Hospitalist ProCare: Family Medicine/Hospitalist Member Since : Medical Center Hospital: 09/07/2010 MCH ProCare 110 E 7th Street Odessa, TX 79761 Ph.| (432) 640-2408 Fax| (432) 640-4606

Johany A. Herrera, MD

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Medical Center Hospital:

NPI : 1760708515 Department : Medical Center Hospital: Radiology/Radiology Member Since : Medical Center Hospital: 08/09/2016 MCH ProCare 500 W 4th Street Odessa, TX 79761 Ph.| (432) 640-2834 Fax| (432) 640-2897

Mason G. Hicks, MD

NPI : 1962757849 Department : Medical Center Hospital: Medicine/Hospitalist ProCare: Medicine/Internal Medicine Member Since : Medical Center Hospital: 09/02/2014 MCH ProCare 500 W 4th Street Odessa, TX 79762 Ph.| (432) 640-2834 Fax| (432) 640-2897

Niriksha Hosakoppal, MD

NPI : 1659647832 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 09/04/2018 Basin Emergency Physicians, PLLC 500 W 4th St. Odessa, TX 79761 Ph.| (432) 640-2228 Fax| (432) 640-2205

Joshua L. Houser, MD

NPI : 1730135476 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 12/08/2015 Basin Emergency Physicians 500 W 4th Street Odessa, TX 79761 Ph.| (432) 640-2201 Fax| (432) 640-2205

Christopher L. Huerta, MD

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Medical Center Hospital:

NPI : 1801819933 Department : Medical Center Hospital: Surgery/Urology Member Since : Medical Center Hospital: 02/16/2011 Dr. Hughes office 410 N. Hancock Odessa, TX 79761 Ph.| (432) 582-8112 Fax|

T M. Hughes, MD

NPI : 1629271259 Department : Medical Center Hospital: Pathology/Pathology Member Since : Medical Center Hospital: 08/07/2018 ProCare 110 E. 7th St. Odessa, TX 79761 Ph.| (432) 640-2408 Fax| (432) 640-4606

Meredith E. Hulsey, DO

NPI : 1346329786 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 08/09/2016 MCH Professional Care Hospital Based 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2015 Fax| (432) 640-2190

James W. Huston, MD

NPI : 1942581251 Department : Medical Center Hospital: Medicine/Intraoperative Neuromonitoring Member Since : Medical Center Hospital: 02/14/2017 Morton I Hyson MD, PC 701 Shadow Ln Las Vegas, NV 89106 Ph.| (702) 387-1757 Fax| (702) 387-2024

Morton I. Hyson, MD

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Medical Center Hospital:

NPI : 1720422694 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 10/02/2018 Irving 6502 Sans Souci Cv AUSTIN, TX 78759-5163 Ph.| (206) 351-3878 Fax|

Steven C. Irving, MD

NPI : 1447252440 Department : Medical Center Hospital: Radiology/Radiology Member Since : Medical Center Hospital: 02/06/1991 West Texas Imaging 320 N. Muskingum Odessa, TX 79761 Ph.| (432) 335-8400 Fax| (432) 335-5805

Sajjadul Islam, MD

NPI : 1215922802 Department : Medical Center Hospital: Medicine/Psychiatry Member Since : Medical Center Hospital: 02/02/2010 Texas Tech Physicians Midland 314 Secor St. Midland, TX 79701 Ph.| (432) 620-1160 Fax| (432) 620-1156

Shailesh Jain, MD

NPI : 1275574196 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 10/06/2009 Basin Emergency Physicians 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1189 Fax| (432) 640-2205

Clifford Janke, MD

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Medical Center Hospital:

NPI : 1194854836 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 02/04/2014 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-1537

Babatunde A. Jinadu, MD

NPI : 1366485252 Department : Medical Center Hospital: Radiology/Oncology Member Since : Medical Center Hospital: 05/10/1994 Texas Oncology 500 West 3rd St. Odessa, TX 79761 Ph.| 432-335-8275 Fax| 432-334-0687

Joseph G. Kaczor, MD

NPI : 1548312390 Department : Medical Center Hospital: Medicine/Neurology Member Since : Medical Center Hospital: 08/06/1996 Kadir Abdul , MD 750 West 5th Street Odessa, TX 79763 Ph.| (432) 332-3300 Fax| (432) 332-3353

Abdul Kadir, MD

NPI : 1821309964 Department : Medical Center Hospital: Medicine/Gastroenterology Member Since : Medical Center Hospital: 10/04/2016 MCH ProCare 540 W 5th St, Ste 300 Odessa, TX 79761 Ph.| (432) 640-3007 Fax| (432) 337-2993

Sindhu R. Kaitha, MD

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Medical Center Hospital:

NPI : 1639497282 Department : Medical Center Hospital: Radiology/Radiology Member Since : Medical Center Hospital: 10/03/2017 ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2408 Fax|

Bharat Kakarala, MD

NPI : 1821409673 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 04/03/2018 MCH ProCare Hospitalist 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-4000 Fax| (432) 640-2897

Ramcharitha Kandikatla, MD

NPI : 1851374946 Department : Medical Center Hospital: OB.GYN/Maternal-Fetal Medicine Member Since : Medical Center Hospital: 12/03/1996 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 335-2222 Fax| (432) 334-9415

Randall T. Kelly, MD

NPI : 1255605952 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 02/12/2019 Basin Emergency Physicians - ED 500 W. 4th St. Odessa, TX 79761 Ph.| (432) 640-2228 Fax| (432) 640-2205

Garry J. Kennebrew, Jr, MD

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Medical Center Hospital:

NPI : 1114964756 Department : Medical Center Hospital: Medicine/Oncology Member Since : Medical Center Hospital: 09/07/1993 Texas Oncology 500 West 3rd St. Odessa, TX 79761 Ph.| 432-335-8275 Fax| 432-334-0687

Pankaj Khandelwal, MD

NPI : 1043692411 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 09/04/2018 TTUHSC Odessa 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-1815

Sarah Kiani, MD

NPI : 1154424364 Department : Medical Center Hospital: Cardiology/Cardiology Member Since : Medical Center Hospital: 10/03/1995 Complete Care Cardiology / Dr. Nam Kim 605 East 4th Street Suite 201 Odessa, TX 79761 Ph.| (432) 331-9900 Fax| (432) 331-9959

Nam H. Kim, MD

NPI : 1093987885 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 04/04/2017 ProCare Internal medicine 8050 East Highway 191 Odessa, TX 79765-8607 Ph.| (432) 337-5411 Fax| (432) 561-5380

Sam Eun Kim, MD

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Medical Center Hospital:

NPI : 1174532386 Department : Medical Center Hospital: Medicine/Pulmonary Member Since : Medical Center Hospital: 04/06/1993 Anjaiah Kodityal, MD 420 E. 6th Street Odessa, TX 79761 Ph.| (432) 337-0555 Fax| (432) 337-0558

Anjaiah Kodityal, MD

NPI : 1376848358 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 09/04/2012 420 E. 6th Street Odessa, TX 79761 Ph.| (432) 582-8670 Fax| (432) 582-8671

Bhargavi B. Kola, MD

NPI : 1912253766 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 09/04/2018 TTUHSC Odessa 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-1815

Swapna Kolli, MD

NPI : 1528065893 Department : Medical Center Hospital: Cardiology/Cardiology Member Since : Medical Center Hospital: 11/06/1991 Dr. Kolluru 3401 GREENBRIAR DR STE 100 Midland, TX 79707 Ph.| (432) 685-3333 Fax| (432) 570-5440

Ramachandra R. Kolluru, MD

Page 40: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1821086729 Department : Medical Center Hospital: Medicine/Internal Medicine ProCare: Medicine/Internal Medicine Member Since : Medical Center Hospital: 02/16/2011 MCH ProCare 8050 E Highway 191, Ste 200 Odessa, TX 79765 Ph.| (432) 337-5411 Fax| (432) 640-1168

Stephanie A. Kubacak, MD

NPI : 1689633075 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 11/03/1997 Permian Women’s Center, PA 405 N. Tom Green Odessa, TX 79761 Ph.| (432) 580-9876 Fax| (432) 580-9877

Usha R. Kurra, MD

NPI : 1093935975 Department : Medical Center Hospital: Surgery/Neurology Member Since : Medical Center Hospital: 10/04/2011 Alim Ladha MD 8050 Hwy 191 #203 Odessa, TX 79768 Ph.| (432) 617-4551 Fax| (432) 687-6298

Alim M. Ladha, MD

NPI : 1124153390 Department : Medical Center Hospital: Family Medicine/Geriatric Medicine Member Since : Medical Center Hospital: 10/03/2000 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 335-2222 Fax| (432) 335-5350

Chau M. Le, MD

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Medical Center Hospital:

NPI : 1932184629 Department : Medical Center Hospital: Surgery/Vascular Surgery Member Since : Medical Center Hospital: 10/04/2005 James Y. Li, M.D., P.A. 540 West 5th St Odessa, TX 79761 Ph.| (432) 332-9263 Fax| (432) 332-9264

James Y. Li, MD

NPI : 1558368324 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 08/22/1989 David Libson, MD 421 E. 7th Street Odessa, TX 79761 Ph.| (432) 332-2900 Fax|

David S. Libson, MD

NPI : 1326062589 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 10/13/1992 Charles Lively MD 608 North Muskingum Odessa, TX 79761 Ph.| (432) 580-9168 Fax| (432) 580-8221

Charles A. Lively, MD

NPI : 1659401602 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 02/07/1995 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-1815

Donald M. Loveman, MD

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Medical Center Hospital:

NPI : 1053400168 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 12/15/1998 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 335-2222 Fax| (432) 334-9415

Christopher G. Maguire, DO

NPI : 1396717211 Department : Medical Center Hospital: OB.GYN/Maternal-Fetal Medicine Member Since : Medical Center Hospital: 03/06/2012 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-5201 Fax| (432) 335-5354

James E. Maher, MD

NPI : 1316917768 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 11/11/2014 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 335-2222 Fax| (432) 334-9415

Michael M. Makii, MD

NPI : 1760405427 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology ProCare: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 07/14/1987 MCH ProCare 375 N. Sam Houston Odessa, TX 79761 Ph.| (432) 640-2491 Fax| (432) 640-2493

Raymond Martinez, MD

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Medical Center Hospital:

NPI : 1124177654 Department : Medical Center Hospital: Surgery/Ophthalmology Member Since : Medical Center Hospital: 09/09/1980 Jose Mayans, MD 907 W. 2nd Odessa, TX 79763 Ph.| (432) 333-1324 Fax| (432) 337-7628

Jose A. Mayans, MD

NPI : 1811990088 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 10/08/2002 Pamela A. McQullin, M.D, P.A 1330 East 8th Street, Suite 420 Odessa, TX 79761-4733 Ph.| (432) 580-9191 Fax| (432) 332-1344

Pamela A. McQuillin, MD

NPI : 1154618908 Department : Medical Center Hospital: Medicine/Hospitalist ProCare: Medicine/Hospitalist Member Since : Medical Center Hospital: 03/10/2016 MCH Professional Care Hospital Based 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-2401 Fax| (432) 640-4606

Srikala R. Meda, MD

NPI : 1962549717 Department : Medical Center Hospital: Surgery/Orthopedic Member Since : Medical Center Hospital: 11/11/2014 Acute Surgicaal Care Specialists 540 W.5th St. Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Paul F. Merkle, MD

Page 44: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1861837569 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 02/12/2019 Basin Emergency Physicians, PLLC 500 W. 4th St Odessa, TX 79761 Ph.| (432) 640-2228 Fax| (432) 640-2205

Stefan H. Meyering, DO

NPI : 1588722409 Department : Medical Center Hospital: Surgery/Pediatric Dentistry Member Since : Medical Center Hospital: 10/01/1996 Pediatric Dentistry 2461 E. 11th Odessa, TX 79761 Ph.| (432) 333-4123 Fax| (432) 333-9069

James H. Miller, DDS

NPI : 1932423845 Department : Medical Center Hospital: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 04/03/2018 MCH ProCare Anesthesia 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-4000 Fax|

Pragnyadipta Mishra, MD

NPI : 1568680593 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 11/01/2016 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-5350

Bhavana Y. Mocherla, MD

Page 45: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1487711784 Department : Medical Center Hospital: Medicine/Infectious Disease Member Since : Medical Center Hospital: 04/04/2006 Basin Infectious Diseases Associates, PA 318 N. Alleghaney Ave, STE 300 Odessa, TX 79761 Ph.| (432) 288-4900 Fax| (432) 689-2055

Satish M. Mocherla, MD

NPI : 1417030693 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 05/02/2000 Migdalia Monzon, MD 850 Tower Driive Suite 107 Odessa, TX 79761 Ph.| (432) 580-0212 (432) 580-0212 Fax| (432) 580-0244 (432) 580-0244

Migdalia Monzon, MD

NPI : 1861648248 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 10/07/2014 Texas Tech University Health Sciences Center 701 West 5th Street Odessa, TX 79763 Ph.| (432) 703-5510 Fax| (432) 335-5219

Lee D. Moore, MD

NPI : 1700175775 Department : Medical Center Hospital: Surgery/Podiatry Member Since : Medical Center Hospital: 12/04/2012 Podiatric Medcial Partners of Texas 420 E. 6th St. Odessa, TX 79761 Ph.| (432) 614-1799

Joseph C. Morgan, DPM

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Medical Center Hospital:

Fax| (888) 828-6791

NPI : 1184741852 Department : Medical Center Hospital: Pediatrics/Neonatal / Perinatal Member Since : Medical Center Hospital: 06/09/2015 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-1537

Manjula Mudduluru, MD

NPI : 1417397423 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 02/13/2018 TTUHSC Odessa 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax|

Sai Siva Mungara, MD

NPI : 1669551370 Department : Medical Center Hospital: Anesthesiology/Anesthesiology ProCare: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 09/13/1994 MCH ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-1260 Fax| (432) 640-4606

Marlys O. Munnell, MD

Page 47: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1740289297 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 02/12/2019 Sari Nabulsi MD LTD LLP 5801 W. Wadley Ave Midland, TX 79707 Ph.| (432) 699-2636 Fax| (432) 699-4134

Sari A. Nabulsi, MD

NPI : 1710954292 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 09/13/1976 Naidu Clinic 605 E 4th St Ste 300 Odessa, TX 79761 Ph.| (432) 337-4347 Fax| (432) 337-1657

Jayaram B. Naidu, MD

NPI : 1124095161 Department : Medical Center Hospital: Cardiology/Cardiology Member Since : Medical Center Hospital: 06/04/2002 Naidu Clinic 605 E 4th St Ste 203 Odessa, TX 79761 Ph.| (432) 617-8329 Fax| (432) 337-1657

Raja B. Naidu, MD

NPI : 1104026236 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 02/13/2018 Texas Tech University Helath Sciences Center Odessa 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax|

Prem K. Nair, MD

Page 48: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1386807089 Department : Medical Center Hospital: Medicine/Endocrinology ProCare: Medicine/Endocrinology Member Since : Medical Center Hospital: 12/06/2011 MCH ProCare 315 North Golder, Ste B Odessa, TX 79761 Ph.| (432) 640-1887 Fax| (432) 640-1875

Varuna Nargunan, MD

NPI : 1841441490 Department : Medical Center Hospital: Pathology/Pathology ProCare: Pathology/Pathology Member Since : Medical Center Hospital: 09/03/2013 MCH ProCare MCH Professional Care Hospital Based 500 W 4th St 500 W 4th Street Odessa, TX 79761 Odessa, TX 79761 Ph.| (432) 640-1333 (432) 640-4000 Fax| (432) 640-1337 (432) 640-1337

Nawaal M. Nasser, MD

NPI : 1740207604 Department : Medical Center Hospital: Pediatrics/Cardiology Member Since : Medical Center Hospital: 06/09/2009 Cem Nasuhoglu, MD 1909 West Wall Street Midland, TX 79701-6510 Ph.| (432) 570-7334 Fax| (432) 570-7339

Cem Nasuhoglu, MD

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Medical Center Hospital:

NPI : 1740219807 Department : Medical Center Hospital: Cardiology/Cardiology Member Since : Medical Center Hospital: 02/04/1997 Shanti K Neerukonda, MD, PA 501 N. Golder Odessa, TX 79761 Ph.| (432) 333-6200 Fax| (432) 333-6213

Shanti K. Neerukonda, MD

NPI : 1285991851 Department : Medical Center Hospital: Surgery/Urology Member Since : Medical Center Hospital: 09/05/2017 West Texas Urology 2706 W Cuthbert Midland, TX 79701 Ph.| (432) 687-0311 Fax| (432) 687-0312

Jonathan S. Nelson, MD

NPI : 1952308934 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 06/08/2004 Vinh Nguyen, MD 420 E. 6th St. Odessa, TX 79761 Ph.| (432) 582-8998 Fax| (432) 582-8997

Vinh Nguyen, MD

NPI : 1891083689 Department : Medical Center Hospital: Surgery/Otolaryngology Member Since : Medical Center Hospital: 09/06/2016 MCH ProCare Otolaryngology 520 North Washington Odessa, TX 79761 Ph.| (432) 333-8808 Fax| (432) 333-8136

Raphael E. Nwojo, MD

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Medical Center Hospital:

NPI : 1912183591 Department : Medical Center Hospital: Pediatrics/Hospitalist Member Since : Medical Center Hospital: 08/04/2015 Convent Hospital 500 W 4th Odessa, TX 79760 Ph.| (432) 640-1580 Fax| (432) 640-4012

Andrew Odionu, MD

NPI : 1518384973 Department : Medical Center Hospital: Pediatrics/Hospitalist Member Since : Medical Center Hospital: 10/06/2015 Pedicare Children’s Clinic, PA 3001 W. Illinois Ave Ste 1A Midland, TX 79701 Ph.| (432) 695-6300 Fax| (361) 214-2983

Kolawole Odumusi, MD

NPI : 1982732178 Department : Medical Center Hospital: Pediatrics/Hospitalist Member Since : Medical Center Hospital: 05/05/2015 CompHealth Pediatrics 1100 Central ave Albuquerque, NM 87106 Ph.| (214) 277-4518 Fax| (505) 841-1956

Kingsley C. Okonkwo, MD

NPI : 1720212608 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 10/02/2012 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 335-2222 Fax| (432) 335-5350

Ikemefuna C. Okwuwa, MD

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Medical Center Hospital:

NPI : 1467567933 Department : Medical Center Hospital: Medicine/Nephrology Member Since : Medical Center Hospital: 11/15/1983 Oliver 230 North Washington Odessa, TX 79761 Ph.| (432) 332-3213 Fax| (432) 697-0769

Larry D. Oliver, MD

NPI : 1982991899 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 10/07/2014 Texas Tech Univeristy Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-5350

Martin Ortega, MD

NPI : 1295850436 Department : Medical Center Hospital: Medicine/Physical Medicine ProCare: Medicine/Physical Medicine Member Since : Medical Center Hospital: 10/02/2012 MCH ProCare 540 W 5th Street Suite 340 Odessa, TX 79761 Ph.| (432) 640-3774 Fax| (432) 640-4774

Mandeep S. Othee, MD

NPI : 1588794424 Department : Medical Center Hospital: Medicine/Critical Care Member Since : Medical Center Hospital: 04/13/1999 Texas Tech University Health Sciences Center 701 W 5th Street Odessa, TX 79761 Ph.| 432-620-5800 Fax| 432-620-5873

Lavi Oud, MD

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Medical Center Hospital:

NPI : 1386933521 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 10/14/2016 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax| (432) 335-5354

Vabhave Pal, MD

NPI : 1699743187 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 02/13/2001 Center for Hypertension & Internal Medicine 420 E. 6th St, STE 107 Odessa, TX 79761 Ph.| (432) 582-2446 Fax| (432) 582-2960

Madhu V. Pamganamamula, MD

NPI : 1679569578 Department : Medical Center Hospital: Radiology/Telemedicine/Electromonitoring Member Since : Medical Center Hospital: 11/06/2018 Virtual Radiologic Professionals, LLC 11995 Singletree Lane, Suite 500 Eden Prairie, MN 55344 Ph.| (952) 595-1100 Fax| (952) 935-2757

Sulekha Parshad, MD

NPI : 1295724698 Department : Medical Center Hospital: Surgery/Vascular Surgery Member Since : Medical Center Hospital: 12/12/2000 Basin Cardiothoracic and Vascular Surgical Associates 400 Rosalind Redfern Grover Pkwy Midland, TX 79701 Ph.| (432) 221-2107 Fax| (432) 682-1707

Kirit N. Patel, MD

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Medical Center Hospital:

NPI : 1952314775 Department : Medical Center Hospital: Cardiology/Cardiology Member Since : Medical Center Hospital: 02/07/1994 Pankaj Patel, MD 3403 Andrews Hwy Ste 300 Midland, TX 79703-5132 Ph.| (432) 522-1234 Fax| (432) 522-2950

Pankaj V. Patel, MD

NPI : 1245230622 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 09/11/1987 Rajesh Patel, MD 601 N. Golder Odessa, TX 79761 Ph.| (432) 580-8000 Fax| (432) 332-9677

Rajesh J. Patel, MD

NPI : 1700061736 Department : Medical Center Hospital: Cardiology/Cardiology ProCare: Cardiology/Cardiology Member Since : Medical Center Hospital: 10/07/2014 MCH ProCare 720 N Golder Ave Odessa, TX 79761 Ph.| (432) 337-3117 Fax| (432) 337-3448

Tejas P. Patel, MD

NPI : 1841219540 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 02/12/2019 Envision Physician Services 540 W. 5th St Odessa, TX 79762 Ph.| (432) 332-7500 Fax| (432) 332-7503

Scott C. Peterson, DO

Page 54: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1952713380 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 08/09/2018 MCH ProCare Women’s Clinic 375 N. Sam Houston Odessa, TX 79761 Ph.| (432) 640-2491 Fax| (432) 640-2493

Christopher Petr, MD

NPI : 1063693125 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 09/07/2010 Basin Emergency Physicians 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1189 Fax| (432) 640-2205

Jeff M. Pinnow, MD

NPI : 1881860724 Department : Medical Center Hospital: Family Medicine/Hospitalist ProCare: Family Medicine/Hospitalist Member Since : Medical Center Hospital: 09/03/2013 St Davids Round Rock Medical Center 2400 Round Rock Ave Round Rock, TX 78681 Ph.| (512) 341-1259 Fax|

Mauricio Pinto, MD

NPI : 1730527748 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 04/02/2019 Basin Emergency Physicians, PLLC 500 W. 4th St. Odessa, TX 79761 Ph.| (432) 640-2228 Fax| (432) 640-2205

Jennifer M. Porubsky, DO

Page 55: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1245229665 Department : Medical Center Hospital: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 09/06/2016 MCH ProCare 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1119 Fax| (432) 640-1057

Michael D. Price, MD

NPI : 1134372659 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 05/11/2018 TTUHSC Internal Medicine 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax|

Hashmi Rafeek, MD

NPI : 1518927656 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 02/10/1998 Permian Women’s Center, PA 405 N. Tom Green Odessa, TX 79761 Ph.| (432) 580-9876 Fax| (432) 580-9877

Pill G. Raja, MD

NPI : 1538155288 Department : Medical Center Hospital: Family Medicine/Family Medicine ProCare: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 09/09/1980 MCH ProCare 315 North Golder Ave Odessa, TX 79761 Ph.| (432) 640-1878 Fax| (432) 640-1875

Chittur V. Ramanathan, MD

Page 56: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1518945997 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 04/01/1997 Victor, Ramos R. MD. 540 W. 5th Street Odessa, TX 79761 Ph.| (432) 580-5400 Fax| (432) 580-5411

Victor R. Ramos, MD

NPI : 1629084504 Department : Medical Center Hospital: Medicine/Allergy / Immunology Member Since : Medical Center Hospital: 10/03/2006 Advanced Allergy & Asthma Care 500 Adams Ave., Suite 300 Odessa, TX 79761 Ph.| (432) 333-3300 Fax| (432) 339-3300

Vivek U. Rao, MD

NPI : 1306884986 Department : Medical Center Hospital: Medicine/Oncology Member Since : Medical Center Hospital: 10/03/2000 Texas Oncology 400 Rosalind Redfern Grover Pkwy, STE 100 Midland, TX 79701 Ph.| (432) 685-1559 (432) 687-1949 (432) 687-1949 Fax| (432) 687-0237 (432) 683-6973

Ashutosh Rastogi, MD

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Medical Center Hospital:

NPI : 1780892760 Department : Medical Center Hospital: Medicine/Nephrology Member Since : Medical Center Hospital: 12/06/2011 Permian Premier 421 N. Tom Green Odessa, TX 79761 Ph.| (432) 279-0905 Fax| (432) 582-2243

Anand C. Reddy, MD

NPI : 1275528556 Department : Medical Center Hospital: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 08/08/2017 MCH ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2408 Fax| (432) 640-4606

Punaepalli S. Reddy, MD

NPI : 1245201268 Department : Medical Center Hospital: Radiology/Radiology Member Since : Medical Center Hospital: 02/07/2006 Varadareddy T Reddy, MD 613 N. Golder Odessa, Tx 79761 Ph.| (432) 333-4906 Fax| (432) 580-9898

Varadareddy T. Reddy, MD

NPI : 1487611562 Department : Medical Center Hospital: Pediatrics/Cardiology Member Since : Medical Center Hospital: 03/06/2012 Covenant Medical Group 4102 22nd Pl Lubbock, TX 79410 Ph.| (806) 725-0779 Fax| (806) 723-7339

Andrew Robinson, MD

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Medical Center Hospital:

NPI : 1336141084 Department : Medical Center Hospital: Radiology/Radiology ProCare: Radiology/Radiology Member Since : Medical Center Hospital: 11/05/1996 MCH ProCare 500 W 4th St Odessa, TX 79760 Ph.| (432) 640-1273 Fax| (432) 640-1818

George N. Rodenko, MD

NPI : 1841241346 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 03/07/2017 Basin Emergency Physicians 500 W 4th Street Odessa, TX 797961 Ph.| (432) 221-1111 Fax|

Jon Rosenthal, MD

NPI : 1164698767 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 11/05/2013 MCH ProCare 500 W 4th Street Odessa, TX 79763 Ph.| (432) 640-2408 Fax| (432) 640-4606

Narendra Sajja, MD

NPI : 1114955812 Department : Medical Center Hospital: Family Medicine/Family Medicine Pro Care: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 08/01/2006 MCH Pro Care 540 West 5th Street Odessa, TX 79761 Ph.| (432) 640-3007 Fax| (432) 640-2708

Eduardo Salcedo, MD

Page 59: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1093719767 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 12/04/2001 Francisco Salcido, MD 710 E. 6th Street Odessa, TX 79761 Ph.| (432) 582-2882 Fax| (432) 582-2884

Francisco J. Salcido, MD

NPI : 1689871337 Department : Medical Center Hospital: Surgery/Orthopedic Member Since : Medical Center Hospital: 07/11/2017 EmCare Surgical Services 4001 W 15th Street Plano, TX 75093 Ph.| (972) 608-2025 Fax|

Vilas Saldanha, MD

NPI : 1346274859 Department : Medical Center Hospital: Radiology/Radiology ProCare: Radiology/Radiology Member Since : Medical Center Hospital: 02/05/2008 MCH ProCare 500 W. 4th St Odessa, TX 79761 Ph.| (432) 640-1273 Fax| (432) 640-1818

Russell D. Schroeder, MD

NPI : 1689869117 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 07/12/2016 Texas Tech University Health Sciences Center Family Practice Dept. Odessa, TX 79763 Ph.| (432) 703-5511 Fax| (432) 335-5350

Vani Selvan, MD

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Medical Center Hospital:

NPI : 1407941297 Department : Medical Center Hospital: Surgery/Ophthalmology Member Since : Medical Center Hospital: 04/09/1985 The Eye Institute 4214 Andrews Highway Midland, TX 79703 Ph.| (432) 686-2020 Fax| (432) 570-0888

Harshad G. Shah, MD

NPI : 1073889523 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 10/17/2018 Envision Physician Services 540 West 5th St. Suite 350 Odessa, TX 79762 Ph.| (432) 332-7500 Fax| (432) 332-7503

Sarah C. Shaw, DO

NPI : 1003810995 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 09/13/1983 Wendover Family Medicine 4222 Wendover Ave #600 Odessa, TX 79762 Ph.| (432) 552-5656 Fax| (432) 552-0992

Michael V. Shelton, MD

NPI : 1760543821 Department : Medical Center Hospital: Pediatrics/Pediatrics ProCare: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 02/08/2000 MCH ProCare 840 W. Clements Odessa, TX 79763 Ph.| (432) 640-4860 Fax| (432) 640-4864

Eileen L. Sheridan-Shayeb, MD

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Medical Center Hospital:

NPI : 1912341934 Department : Medical Center Hospital: Pediatrics/Neonatal / Perinatal Member Since : Medical Center Hospital: 04/02/2019 TTUHSC- PB 701 W. 5th St. Odessa, TX 79763 Ph.| (432) 703-5310 Fax|

Sudip M. Sheth, MD

NPI : 1336159599 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 06/07/2005 Basin Emergency Physicians 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1189 Fax| (432) 640-2205

Gregory M. Shipkey, MD

NPI : 1366439739 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 09/04/2012 First Physicians 1220 W. University Odessa, TX 79763 Ph.| (432) 332-6600 Fax| (432) 682-8416

Steve A. Siegler, MD

NPI : 1912945460 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 02/06/2007 Basin Emergency Physicians 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1189 Fax| (432) 640-2205

Neill R. Slater, MD

Page 62: Medical Staff Services Update: 05/2019 · Permian Gastroenterology Associates 315 E. 5th Street Odessa, TX 79761 Ph.| (432) 333 -3433 Fax| (432) 333 -3450 Venkata V. Adimoolam, MD

Medical Center Hospital:

NPI : 1265798771 Department : Medical Center Hospital: Surgery/Urology Member Since : Medical Center Hospital: 08/07/2018 West Texas Urology 2706 W Cuthbert Midland, TX 79701 Ph.| (432) 687-0311 Fax| (432) 687-0312

Christopher Slayden, MD

NPI : 1275854622 Department : Medical Center Hospital: Family Medicine/Geriatric Medicine Member Since : Medical Center Hospital: 09/02/2014 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 561-8681 Fax|

Debbie V. Smith, DO

NPI : 1184945115 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 02/13/2018 EmCare Surgical Services 540 W. 5th St Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Jody L. Smith, MD

NPI : 1366753386 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 03/12/2019 Envision Physician Services 540 W. 5th St Odessa, TX 79762 Ph.| (432) 332-7500 Fax|

Emmanuel O. Sonaike, MD

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Medical Center Hospital:

NPI : 1174587935 Department : Medical Center Hospital: Medicine/Endocrinology Member Since : Medical Center Hospital: 09/11/2007 Texas Tech University Health Sciences Center 701 W. 5th Odessa, TX 79761 Ph.| (432) 335-2222 Fax| (432) 335-1815

Craig W. Spellman, DO

NPI : 1003830290 Department : Medical Center Hospital: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 12/01/1992 Texas Tech University Health Sciences Center 701 W 5th St Odessa, TX 79761 Ph.| (432) 335-2222 Fax| (432) 335-5350

Charles W. Sponsel, DO

NPI : 1417181280 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 10/02/2013 Lori Stafford, DO 617 N. Tom Green Ave. Odessa, TX 79761 Ph.| (432) 333-2229 Fax| (432) 332-0093

Lori C. Stafford, DO

NPI : 1730180134 Department : Medical Center Hospital: Surgery/Urology Member Since : Medical Center Hospital: 05/10/2011 West Texas Urology, PA 2706 W Cuthbert Bdg C Midland, TX 79701 Ph.| (432) 687-0311 Fax| (432) 687-0312

John B. Staub, MD

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Medical Center Hospital:

NPI : 1417094400 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 02/12/2019 Basin Emergency Physicians 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1189 Fax| (432) 640-2205

Stephen P. Stewart, MD

NPI : 1366652315 Department : Medical Center Hospital: Surgery/Urology Member Since : Medical Center Hospital: 08/09/2011 West Texas Urology, PA 2706 W Cuthbert Bdg C Midland, TX 79701 Ph.| (432) 687-0311 Fax| (432) 687-0312

Aaron B. Stike, MD

NPI : 1881704252 Department : Medical Center Hospital: Surgery/Podiatry Member Since : Medical Center Hospital: 12/01/1992 Glenn Stockbridge, DPM 3912 Tanglewood Ln Odessa, TX 79762 Ph.| (432) 367-9944 Fax| (432) 368-7600

Glenn R. Stockbridge, DPM

NPI : 1235161175 Department : Medical Center Hospital: Anesthesiology/Anesthesiology ProCare: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 02/16/2011 MCH ProCare 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-2401 Fax| (432) 640-4606

Jannie Tang, MD

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Medical Center Hospital:

NPI : 1346533833 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 07/07/2015 Basin Emergency Physicians, PLLC 500 W 4th St. Odessa, TX 79761 Ph.| (432) 640-2228 Fax| (432) 640-2205

Brian T. Taylor, DO

NPI : 1295969699 Department : Medical Center Hospital: Medicine/Nephrology Member Since : Medical Center Hospital: 07/10/2018 Permian Nephrology Associates 3302 W. Golf Course Rd Midland, TX 79703 Ph.| (432) 522-2304 Fax| (432) 522-2307

Ramakrishna Thokala, MD

NPI : 1215373006 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 11/01/2016 MCH ProCare (Hospitalist) 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-2834 Fax| (432) 640-2897

Harika Thummala, MD

NPI : 1639172208 Department : Medical Center Hospital: Medicine/Intraoperative Neuromonitoring Member Since : Medical Center Hospital: 02/13/2018 Kathy A. Toler, M.D. PA 2011 Cedar Springs Rd Dallas, TX 75201 Ph.| (214) 695-4330 Fax| (214) 594-8842

Kathy Toler, MD

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Medical Center Hospital:

NPI : 1699816587 Department : Medical Center Hospital: Radiology/Radiology ProCare: Radiology/Radiology Member Since : Medical Center Hospital: 10/02/2013 MCH ProCare 500 W. 4th St Odessa, TX 79761 Ph.| (432) 640-1273 Fax| (432) 640-1818

Timothy D. Townsend, MD

NPI : 1609964394 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 12/04/2018 Envision Physician Services 540 West 5th St Ste 350 Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Mark O. Tucker, MD

NPI : 1386835577 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 02/04/2015 Acute Surgical Care Specialists Acute Surgical Care Specialists 7715 San Jacinto Place 540 W 5th St. Plano, TX 75024 Odessa, TX 79761 Ph.| (214) 245-4424 (432) 332-7500 Fax| (972) 618-4000 (432) 332-7503

Benjamin Turnbow, MD

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Medical Center Hospital:

NPI : 1376807362 Department : Medical Center Hospital: Family Medicine/Family Medicine ProCare: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 08/11/2015 MCH Family Health Clinic 6030 W. University Odessa, TX 79764 Ph.| (432) 640-6600 Fax| (432) 640-4791

Mavis Twum-Barimah, MD

NPI : 1598741480 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 08/04/1992 Terry Unruh, MD. PA 4222 Wendover, ste 800 Odessa, TX 79762 Ph.| 432-550-4200 Fax| 432-366-3311

Terry M. Unruh, MD

NPI : 1518346667 Department : Medical Center Hospital: Family Medicine/Hospitalist Member Since : Medical Center Hospital: 07/01/2015 MCH ProCare Hospitalist 500 W. 4th Street Odessa, TX 79760 Ph.| (432) 640-4000 Fax| (432) 640-4606

Joshua Urteaga, MD

NPI : 1659372068 Department : Medical Center Hospital: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 10/05/1999 Sing Uy, MD 2461 East 11th St. Odessa, TX 79761 Ph.| (432) 334-8845 Fax| (432) 334-8875

Sing D. Uy, MD

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Medical Center Hospital:

NPI : 1467446484 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 12/04/2007 Van Riper , James DO 1680 Anitlley RD Abilene, TX 79606 Ph.| (325) 695-4969 Fax|

James W. Van Riper, DO

NPI : 1740397397 Department : Medical Center Hospital: Medicine/Gastroenterology Member Since : Medical Center Hospital: 09/11/2007 Permian Gastroenterology Associates 315 E 5th St. Odessa, TX 79761 Ph.| (432) 333-3433 Fax| (432) 333-3450

Syam S. Vemulapalli, MD

NPI : 1891724498 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 10/02/2018 TTUHSC Odessa 701 W 5th St Odessa, TX 79763 Ph.| (432) 335-2222 Fax|

Robert S. Viney, MD

NPI : 1932149663 Department : Medical Center Hospital: Family Medicine/Family Medicine ProCare: Family Medicine/Family Medicine Member Since : Medical Center Hospital: 06/08/1999 Complete Care 3001 W. University Odessa, TX 79764 Ph.| (432) 580-5966 Fax| (432) 580-7413

Lawrence W. Voesack, MD

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Medical Center Hospital:

NPI : 1982806436 Department : Medical Center Hospital: Pediatrics/Endocrinology Member Since : Medical Center Hospital: 11/01/2016 Texas Tech University Health Sciences Center 701 W. 5th St. Odessa, TX 79763 Ph.| (432) 703-5437 Fax|

Arpita Vyas, MD

NPI : 1780611806 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 07/01/2008 BEPO 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-1189 Fax| (432) 640-2205

Vik Wall, MD

NPI : 1770526642 Department : Medical Center Hospital: Medicine/Oncology Member Since : Medical Center Hospital: 10/10/1983 Texas Oncology 400 Rosalind Redfern Grover Pkwy, STE 100 Midland, TX 79701 Ph.| (432) 685-1559 Fax| (432) 687-0237

David L. Watkins, MD

NPI : 1194745349 Department : Medical Center Hospital: Emergency Medicine/Emergency Medicine Member Since : Medical Center Hospital: 07/11/2006 BEPO 500 W 4th St Odessa, TX 79761 Ph.| (432) 640-2228 Fax| (432) 640-2205

Robert T. Webb, MD

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Medical Center Hospital:

NPI : 1790733103 Department : Medical Center Hospital: Cardiology/Electrophysiology Member Since : Medical Center Hospital: 02/16/2011 Permian Primary Health Services 605 E 4th Street Suite 203 Odessa, TX 79761 Ph.| (432) 339-4307 Fax| (432) 339-4312

Peter J. Wells, MD

NPI : 1699791434 Department : Medical Center Hospital: Surgery/Urology Member Since : Medical Center Hospital: 04/13/1982 Steven P. Wiehle, MD 225 North Lincoln Odessa, TX 79761 Ph.| (432) 580-0260 Fax| (432) 580-0774

Steven P. Wiehle, MD

NPI : 1699156273 Department : Medical Center Hospital: Medicine/Hospitalist Member Since : Medical Center Hospital: 07/01/2015 MCH ProCare Hospitalist 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-4000 Fax| (432) 640-4606

Elliana R. Wiesner, MD

NPI : 1699770552 Department : Medical Center Hospital: Surgery/Surgery Member Since : Medical Center Hospital: 12/05/2017 EmCare Surgical Services 540 West 5th St Odessa, TX 79762 Ph.| (432) 332-7500 Fax| (432) 332-7503

Peter J. Wiltse, DO

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Medical Center Hospital:

NPI : 1225227499 Department : Medical Center Hospital: Medicine/Neurology Member Since : Medical Center Hospital: 02/02/2016 Joel S. Wolinsky, M.D., P.A. 136 Eldridge Road Sugar Land, TX 77478 Ph.| (281) 265-1776 Fax| (281) 265-1805

Joel S. Wolinsky, MD

NPI : 1205221017 Department : Medical Center Hospital: Surgery/Podiatry Member Since : Medical Center Hospital: 08/07/2018 Permian Basin Foot and Ankle 420 E. 6TH STREET STE 104 Odessa, TX 79761 Ph.| (432) 614-1799 Fax| (888) 828-6791

Jordan A. Womack, DPM

NPI : 1740369354 Department : Medical Center Hospital: Medicine/Internal Medicine Member Since : Medical Center Hospital: 08/25/1997 Kendall H. Wong, MD 500 Adams Ave STE 100 Odessa, TX 79761 Ph.| (432) 332-2538 Fax| (432) 332-2591

Kendall H. Wong, MD

NPI : 1831345065 Department : Medical Center Hospital: Surgery/Vascular Surgery ProCare: Surgery/Surgery Member Since : Medical Center Hospital: 03/04/2014 MCH Procare Vascular Surgery 315 N. Golder Ave, Suite C Odessa, TX 79761 Ph.| (432) 640-2515 Fax| (432) 640-4773

Hao M. Wu, MD

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Medical Center Hospital:

NPI : 1205842010 Department : Medical Center Hospital: OB.GYN/Obstetrics and Gynecology Member Since : Medical Center Hospital: 02/13/2018 ProCare Women’s Clinic 375 N. Sam Houston Odessa, TX 79761 Ph.| (432) 640-2491 Fax| (432) 640-2493

Sanchita P. Yadalla, MD

NPI : 1871930065 Department : Medical Center Hospital: Pediatrics/Pediatrics ProCare: Pediatrics/Pediatrics Member Since : Medical Center Hospital: 12/09/2014 MCH ProCare 3001 JBS Parkway Odessa, TX 79762 Ph.| (432) 640-6772 Fax| (432) 334-8714

Zhibo Yang, MD

NPI : 1760423214 Department : Medical Center Hospital: Surgery/Trauma Surgery Member Since : Medical Center Hospital: 07/11/2017 Acute Surgical Care Specialists 540 W. 5th Street Odessa, TX 79761 Ph.| (432) 332-7500 Fax| (432) 332-7503

Gregory York, MD

NPI : 1609963586 Department : Medical Center Hospital: Anesthesiology/Anesthesiology ProCare: Anesthesiology/Anesthesiology Member Since : Medical Center Hospital: 09/19/2008 MCH ProCare 500 W. 4th Street Odessa, TX 79761 Ph.| (432) 640-1260 Fax| (432) 640-4606

Luke Y. Young, MD

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Medical Center Hospital:

NPI : 1194060129 Department : Medical Center Hospital: Medicine/Psychiatry Member Since : Medical Center Hospital: 02/14/2017 Texas Tech Physicians - Midland 314 Secor Street Midland, TX 79701 Ph.| (432) 620-1160 Fax| (432) 620-1156

Muhammad Khalid Zafar, MD

NPI : 1912982018 Department : Medical Center Hospital: Medicine/Electrophysiology Member Since : Medical Center Hospital: 08/02/2005 Texas Cardiac Arithmia MCH ProCare 4316 James Casey Building C , Suite 201 315 N Golder Suite C Austin, TX 78745 Odessa, TX 79761 Ph.| (512) 381-0170 (432) 640-4699 Fax| (512) 406-6513

Jason D. Zagrodzky, MD

NPI : 1962462994 Department : Medical Center Hospital: Surgery/Orthopedic Member Since : Medical Center Hospital: 05/09/1969 Permian Orthopedic 500 N Washington Ave Ste 400 Odessa, TX 79761 Ph.| (432) 337-6617 Fax| (432) 337-4905

Phillip R. Zeeck, MD