Odessa Primary Care PLLC · Internal Medicine Physician

601 Golder Ave Ste B, Odessa, TX 79761-4412

Overview

Odessa Primary Care PLLC is a Internal Medicine Physician (organization) practicing in Odessa, Texas. The National Provider Identifier (NPI) is #1922988690, which was assigned on September 4, 2025, and the registration record was last updated on September 4, 2025. The practitioner's main practice location is at 601 Golder Ave Ste B, Odessa, TX 79761-4412; the contact telephone number is 8664393165, and the fax number is 8324134493. The primary taxonomy of Odessa Primary Care PLLC is Internal Medicine Physician (207R00000X). The authorized official for Odessa Primary Care PLLC is Martin Kay (Administrator).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Information

NPI 1922988690
Entity Type Organization
Organization Name ODESSA PRIMARY CARE PLLC
Provider Name ODESSA PRIMARY CARE PLLC
Practice Address 601 Golder Ave Ste B
Odessa
TX 79761-4412
Practice Telephone 8664393165
Practice Fax Number 8324134493
Mailing Address 601 Golder Ave Ste B
Odessa
TX 79761-4412
Mailing Telephone 8664393165
Mailing Fax Number 8324134493
Certification Date 2025-09-04
Enumeration Date 2025-09-04
Last Update Date 2025-09-04
Is Organization Subpart N

Authorized Official Information

Official Name MARTIN KAY
Official Title ADMINISTRATOR
Telephone 8664393165

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207R00000XInternal Medicine193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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Location Information

Street Address 601 GOLDER AVE STE B
City ODESSA
State TX
Zip Code 79761-4412
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Angela Diahann Tyler 601 Golder Ave, Odessa, TX 79761-4412Family Nurse Practitioner2019-12-04

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Permian Pathology Assoc 500 Adams Ave, Ste 400, Odessa, TX 79761Cytopathology Physician2007-01-17
Audio Acoustics Hearing Centers, Inc 2481 E 11th St, Odessa, TX 79761-4232Audiologist-Hearing Aid Fitter2007-04-12
Lizbeth Jimenez 1406 N Grandview Ave, Odessa, TX 79761-3140Professional Counselor2025-05-01
Johnny Lee White Jr. 1030 N Grandview Ave, Odessa, TX 79761-3149Interventional Pain Medicine Physician2006-08-15
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Miguel Gutierrez 2825 E 21st St, Odessa, TX 79761-1801Family Nurse Practitioner2025-09-16
Tavai Kallay 808 Tower Dr Ste 10, Odessa, TX 79761-4270Other Technician2025-10-03
Mary Victoria Watkins 4637 Lemonwood Ln, Odessa, TX 79761-3523Psychiatric/Mental Health Registered Nurse2025-06-23
Express Medical Supply Ltd 2333 E 8th St, Odessa, TX 79761Oxygen Equipment & Supplies (DME)2006-06-03
Alan Castillejos 5000 Hanover Dr, Odessa, TX 79761-2239Physical Therapy Assistant2020-08-04
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.