ODESSA ORTHOPEDIC ASSOCIATES PLLC
NPI 1174862015
Orthopaedic Surgery - Orthopaedic Trauma in Odessa, TX

NPI Status: Active since February 13, 2013

Contact Information

500 W 4TH ST
ODESSA, TX
ZIP 79761
Phone: (432) 332-7500
Fax: (432) 332-7503

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  • Organization
  • Orthopaedic Surgery
  • Orthopaedic Trauma

About ODESSA ORTHOPEDIC ASSOCIATES PLLC

This page provides the complete NPI Profile along with additional information for Odessa Orthopedic Associates Pllc, a provider established in Odessa, Texas operating as a Orthopaedic Surgery, focusing in orthopaedic trauma . The healthcare provider is registered in the NPI registry with number 1174862015 assigned on February 2013. The practitioner's primary taxonomy code is 207XX0801X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Odessa Orthopedic Associates Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is William Jernberg Md (President)

NPI
1174862015
Provider Name
ODESSA ORTHOPEDIC ASSOCIATES PLLC
Entity Type
Organization
Location Address
500 W 4TH ST ODESSA, TX 79761
Location Phone
(432) 332-7500
Location Fax
(432) 332-7503
Mailing Address
13737 NOEL RD SUITE1600 DALLAS, TX 75240
Mailing Phone
(469) 401-2386
Mailing Fax
(432) 332-7503
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2013
Last Update Date
01-27-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Orthopaedic Trauma

Taxonomy Code
207XX0801X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM JERNBERG MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(469) 401-2386

Reviews for ODESSA ORTHOPEDIC ASSOCIATES PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174862015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144166402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 6 + 4 + 0 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1174862015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. BRUCE CARL BECKER II M.D.

Family Medicine

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1059

DR. OMAR MENDOZA M.D.

Emergency Medicine

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1189

TRANS PECOS EMERGENCY PHYSICIANS

Emergency Medicine

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1189

FARSHID D KAYFAN MD

Emergency Medicine

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1190

STEVEN R DILLARD PAC

Physician Assistant

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1190

VERONICA VEGA FNP

Nurse Practitioner

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1190

TONA SCOTT PA

Physician Assistant

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1190

TONY D SADLER PAC

Physician Assistant

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1190

CHARLES C NICOLETTE MD

Radiology

(Diagnostic Radiology)

500 W 4TH ST
ODESSA, TX
ZIP 79761

(469) 757-1000

DR. MICHAEL DUANE SIMMONS MD

Emergency Medicine

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1189

DR. MARTA GAY WILLOUGHBY MD

Emergency Medicine

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1189

DR. GREGORY MICHAEL SHIPKEY MD

Emergency Medicine

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-1189

MCH PROFESSIONAL CARE RADIOLOGY

Radiology

(Diagnostic Radiology)

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-2401

LUKE YOUNG M.D.

Anesthesiology

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-2401

OSCAR LEO NUNEZ M.D.

Anesthesiology

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-2401

MARLYS O. MUNNELL M.D.

Anesthesiology

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-2401

PREM VINDHYA M.D.

Anesthesiology

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-2401

MEGHANA R GILLALA M.D.

Anesthesiology

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-2401

DR. REBECCA WALD DIAZ M.D.

Emergency Medicine

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-2201

JEFFERY M PINNOW M.D.

Emergency Medicine

(Emergency Medical Services)

500 W 4TH ST
ODESSA, TX
ZIP 79761

(432) 640-4000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174862015, enumerated as an "organization" on February 13, 2013.

The provider is located at 500 W 4TH ST ODESSA, TX 79761 and the phone number is (432) 332-7500.

Orthopaedic Surgery with taxonomy code 207XX0801X and a focus in Orthopaedic Trauma.