NPI age
16 years
Enumerated 2010-03-24
● Active Type 2 · Organization
Susan Van De Water, Md, PA
Susan Van De Water, Md, PA is 1 of 1738 physical medicine & rehabilitation organizations in Texas.
Primary specialty
Physical Medicine & Rehabilitation
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Van De Water
President
Last NPPES update
2013-05-28
Source: monthly bulk 2026-05
How this organization compares
Across 1738 active physical medicine & rehabilitation providers in Texas.
NPI age
16 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-03Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1030 N Grandview Ave
Odessa, TX 797613149
Mailing address
Po Box 62227
Midland, TX 797112227
Authorized official
Susan Dean Van De Water, MD
President
📞 4325700373
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Susan Van De Water, MD Physical Medicine & Rehabilitation NPI 1770555427
- Johnny White, MD Pain Medicine NPI 1336252477
Specialties
-
Physical Medicine & Rehabilitation PrimaryPhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0895096-01 | |
| 01 (TX) | 180317300 | DEPT OF LABOR |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.