John Kyle Dorman, MD | |
540 W 5th St Ste 320, Odessa, TX 79761-5002 | |
(432) 580-4700 | |
(432) 332-2678 |
Full Name | John Kyle Dorman |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 30 Years |
Location | 540 W 5th St Ste 320, Odessa, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215030333 | NPI | - | NPPES |
8AJ418 | Other | TX | BLUE CROSS BLUE SHIELD INDIVIDUAL NUMBER |
166114201 | Medicaid | TX | |
165059001 | Medicaid | TX | |
L4342 | Other | TX | PHYSICIAN LICENSE |
0004QF | Other | TX | BCBS GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | L4342 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical Center Hospital | Odessa, TX | Hospital |
Midland Memorial Hospital | Midland, TX | Hospital |
Entity Name | West Texas Neurosurgery Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760511315 PECOS PAC ID: 6709861040 Enrollment ID: O20040622000113 |
Mailing Address | Practice Location Address |
---|---|
John Kyle Dorman, MD 540 W 5th St Ste 320, Odessa, TX 79761-5002 Ph: (432) 580-4700 | John Kyle Dorman, MD 540 W 5th St Ste 320, Odessa, TX 79761-5002 Ph: (432) 580-4700 |
Thomas D Meek, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 511 N Alleghaney Ave, Odessa, TX 79761 Phone: 432-332-0478 Fax: 432-687-6298 | |
Alim Mirza Ladha, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 8050 E Highway 191, Ste 203, Odessa, TX 79765 Phone: 432-617-4551 Fax: 432-687-6298 | |
Macaulay Ezera Nwojo, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 8050 E Highway 191 Ste 250, Odessa, TX 79765 Phone: 432-558-7000 | |
Samantha Molinar Nunez, DNP, APRN, FNP-BC Neurological Surgery Medicare: Medicare Enrolled Practice Location: 8050 E Highway 191 Ste 250, Odessa, TX 79765 Phone: 432-558-7000 Fax: 432-214-2400 |