JOSEPH KIMBERLY KILLEEN (NPI# 1053376855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053376855 |
| Entity Type | Individual |
| Full Name | JOSEPH KIMBERLY KILLEEN |
| Credential | MD |
| Practice Address |
4102 24 St Suite 502 Lubbock TX 79410 |
| Mailing Address |
3420 22nd Place Lubbock TX 79410 |
| Practice Telephone | 8067256745 |
| Practice Fax Number | 8067236716 |
| Mailing Telephone | 8067257800 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2008-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | K4931 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 044739302 | 05 |
| Street Address |
4102 24 ST SUITE 502 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720426406 | Amy Richards | Obstetrics & Gynecology | 4102 24th St Ste 406, Lubbock, TX 79410-1804 | 2013-06-04 |
| 1477804334 | David Lee Ivy | Obstetrics & Gynecology | 9703 York Pl, Lubbock, TX 79424-4871 | 2012-10-01 |
| 1275844896 | L. Brit Lawrence, M.d., P.a. | Obstetrics & Gynecology | 4002 22nd St, Lubbock, TX 79410-1139 | 2010-06-29 |
| 1073777553 | Michelle Sahinler Md Pa | Obstetrics & Gynecology | 3612 22nd Pl, Lubbock, TX 79410-1318 | 2008-07-15 |
| 1225236912 | Roger Bryan Yandell | Obstetrics & Gynecology | 3601 4th St Ste 3b100, Lubbock, TX 79430-0002 | 2007-07-05 |
| 1982806261 | Ronnelle S Burley Md Pa | Obstetrics & Gynecology | 3711 22nd St Ste B, Lubbock, TX 79410-1900 | 2007-05-31 |
| 1831105675 | Douglas Andrew Lampkin | Obstetrics & Gynecology | 3825 22nd Pl, Lubbock, TX 79410-1117 | 2006-08-01 |
| 1477517555 | Jennifer Michelle Owen | Obstetrics & Gynecology | 5028 122nd St, Lubbock, TX 79424-8398 | 2006-04-14 |
| 1598729667 | Lola Darlene Page | Obstetrics & Gynecology | 4102 24th Street, Suite 412, Lubbock, TX 79410 | 2006-04-14 |
| 1851355010 | David Wayne Blann | Obstetrics & Gynecology | 2102 Oxford Avenue, Suite B, Lubbock, TX 79410 | 2006-04-14 |
| 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.