TABATHA J PITTMAN PA-C - NPI 1942361936 - Physician Assistant in Odessa, TX

Q: What is Tabatha Pittman's NPI number?

The NPI number for Tabatha Pittman is 1942361936. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Tabatha Pittman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tabatha Pittman was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Tabatha J Pittman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABATHA J PITTMAN PA-C (NPI 1942361936) is an individual physician assistant in Odessa, Texas, licensed in Texas (PA09082) and active in the NPI registry since December 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942361936

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTABATHA J PITTMANCredential: PA-C

Location Address6030 W UNIVERSITY BLVDOdessa, TX 79764-8530

Mailing AddressPo Box 2129Odessa, TX 79760-2129 · (432) 640-6700 · Fax (432) 640-4700

Phone(432) 640-6600

Fax(432) 640-4790

Sole ProprietorNo

Enumeration DateDecember 13, 2006

Last NPPES UpdateMay 4, 2021

NPPES CertifiedMay 4, 2021

✔ NPI 1942361936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA09082

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6030 W UNIVERSITY BLVD, Odessa, TX 79764

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Secondary Practice Locations 2

Location 13001 Jbs PkwyOdessa, TX 79762-8126 · Phone (432) 640-6700 · Fax (432) 640-4700

Location 21940 E 42nd StOdessa, TX 79762-5803 · Phone (432) 640-2749 · Fax (432) 640-2746

Other Identifiers 1

Medicaid339261502TX

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEVERLY MARIEL GIFFORD FNP

Nurse Practitioner (Family)