MICHAEL DAVID PRESTON (NPI# 1053802520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053802520 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID PRESTON |
| Credential | MD |
| Practice Address |
3601 4th St # Ms 8103 Lubbock TX 79430-0002 |
| Practice Telephone | 8067432800 |
| Practice Fax Number | 8067432784 |
| Mailing Telephone | 8067432800 |
| Mailing Fax Number | 8067432784 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | TX | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396766143 | Michael C Preston | Emergency Medicine | 1542 Poplar Springs Rd, Ringgold, GA 30736-3333 | 2006-07-21 |
| 1194706523 | Michael Craig Preston | Dentist | 20600 Lake Chabot Rd, Suite 103, Castro Valley, CA 94546-5432 | 2005-11-11 |
| 1073161527 | Michael Preston | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-28 |
| 1376197863 | Michael Edward Preston | Social Worker | 700 Brooksedge Blvd, Westerville, OH 43081-2820 | 2019-08-01 |
| 1336658756 | Michael Preston | Counselor | 940 Ebenezer Blvd, Madison, MS 39110-6002 | 2017-09-28 |
| 1558892562 | Michael Preston | Counselor | 359 Fenn St, Administrative, Pittsfield, MA 01201-5261 | 2017-03-22 |
| 1609113653 | Michael Preston | Pharmacist | 14130 W Newberry Rd, Newberry, FL 32669-2759 | 2013-01-10 |
| 1578735965 | Michael Sean Preston | Dentist | 350 5th Ave, Suite 6923, New York, NY 10118-0110 | 2008-03-26 |
| 1871673269 | Michael J Preston | Clinical Neuropsychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2006-10-17 |
| 1750345781 | Michael H Preston | Pharmacist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-04-14 |
| Street Address |
3601 4TH ST # MS 8103 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194833152 | Marina Chavez | Psychiatry & Neurology | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2006-08-29 |
| 1457917908 | Simon Choi | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2019-05-09 |
| 1982195434 | Luke Kirby Anderson | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2018-05-21 |
| 1093206559 | Rebecca Anne Farias | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2018-05-21 |
| 1194216663 | Jesse Lee Worsham | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2018-05-21 |
| 1376064329 | Ashish Sarangi | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2017-06-29 |
| 1841711025 | Roberto Rivera | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2017-06-28 |
| 1922529114 | Grace Wooten | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2017-06-28 |
| 1528589710 | Anastasia Ruiz | Psychiatry & Neurology | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2017-06-28 |
| 1376064543 | Wail Amor | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2017-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
| 1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
| 1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
| 1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
| 1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1942824214 | Kaka Leigh Adams | Student in an Organized Health Care Education/Training Program | 3601 4th St Ttuhsc Dept-pediatrics, Lubbock, TX 79430-0001 | 2020-06-03 |
| 1104440403 | Nadia Tello | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 8315, Lubbock, TX 79430-8315 | 2020-06-02 |
| 1154945517 | Nicholas Quigley | Student in an Organized Health Care Education/Training Program | Ttuhsc 3601 4th Street Stop 6211, Lubbock, TX 79430-0001 | 2020-06-02 |
| 1265056683 | Chandon C Loya | Student in an Organized Health Care Education/Training Program | Family Medicine Residency Program Ttu Hsc, 3601 4th Street Mail Stop 8143, Lubbock, TX 79430-0001 | 2020-06-01 |
| 1659995256 | Joshua Daniel Brogan | Student in an Organized Health Care Education/Training Program | Internal Med Dept Lbk Genl 3601 4th St Stop 9410, Lubbock, TX 79430-9410 | 2020-05-31 |
| 1932722873 | Aron Tidrick | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 1b350, Lubbock, TX 79430-0002 | 2020-05-27 |
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1235752098 | Shannon Corbitt | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street Ttuhsc Department of Surgery Ms 8312, Lubbock, TX 79430-0001 | 2020-05-27 |
| 1104449917 | Jacob Burton | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology 3601 4th St Ms 8182 1b350b, Lubbock, TX 79430-8182 | 2020-05-27 |
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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.