RUSHLAND PARK SURGICENTER (NPI# 1023122876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023122876 |
| Entity Type | Organization |
| Organization Name | RUSHLAND PARK SURGICENTER |
| Other Organization Name | LUBBOCK PLASTIC SURGERY CENTER |
| Practice Address |
4404 6th St Lubbock TX 79416-4732 |
| Practice Telephone | 8067913377 |
| Practice Fax Number | 8067913378 |
| Mailing Telephone | 8067913377 |
| Mailing Fax Number | 8067913378 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2010-05-17 |
| Authorized Official Name | DR. C MICHEL OLIVA (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8067913377 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CRSS & BLUE SHIELD | 000HH1371 | 01 |
| Other Name | Type Code |
|---|---|
| Lubbock Plastic Surgery Center | Former Legal Business Name - Organization |
| Street Address |
4404 6TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-4732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417061540 | Ronald J. North | Specialist | 4404 6th St, Lubbock, TX 79416-4732 | 2006-08-18 |
| 1235404625 | C. Michel Oliva, M.d. Pa | Pain Medicine | 4404 6th St, Lubbock, TX 79416-4732 | 2012-03-19 |
| 1104970136 | Claude Michel Oliva | Anesthesiology | 4404 6th St, Lubbock, TX 79416-4732 | 2007-01-23 |
| 1235243395 | Lubbock Plastic Surgery Associates Pa | Specialist | 4404 6th St, Lubbock, TX 79416-4732 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1093895757 | Patrick D Reeves Mdpa | Clinic/Center | 4315 28th Street, Suite 2, Lubbock, TX 79410 | 2006-10-17 |
| 1871608216 | Covenant High Plains Surgery Center, LLC | Clinic/Center | 3610 22nd Street, Lubbock, TX 79410-1307 | 2006-08-19 |
| 1932104064 | Northstar Surgical Center Lp | Clinic/Center | 4640 N Loop 289, Lubbock, TX 79416-2423 | 2005-06-15 |
| 1669909404 | Lubbock Interventional Nephrology Associates | Clinic/Center | 1126 Slide Rd, Suite # 1, Lubbock, TX 79416-5462 | 2017-05-11 |
| 1992248512 | Lubbock Vascular Access Center | Clinic/Center | 1126 Slide Rd, Suite 1, Lubbock, TX 79416-5462 | 2016-11-30 |
| 1003264425 | Lubbock Plastic Surgery Center, Lp | Clinic/Center | 10105 Quaker Ave, Lubbock, TX 79424-7380 | 2016-05-26 |
| 1134364581 | Lubbock County Hospital District | Clinic/Center | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2008-12-12 |
| 1639370638 | West Texas Pain Institute, LLC | Clinic/Center | 4316 23rd St, Lubbock, TX 79410-1812 | 2007-05-29 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.