MR. JOHN LEE RASBERRY (NPI# 1164512117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164512117 |
Entity Type | Individual |
Full Name | MR. JOHN LEE RASBERRY |
Credential | PA-C |
Practice Address |
8602 Peach Ave Tthsc/tdcj/john T. Montford Medical/psych Unit Lubbock TX 79404-7777 |
Mailing Address |
11211 N County Road 1500 Shallowater TX 79363-3019 |
Practice Telephone | 8067451021 |
Practice Fax Number | 8067457554 |
Mailing Telephone | 8068321832 |
Mailing Fax Number | 8068320918 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00720 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA REGISTRATION NUMBER | 10134754 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932293107 | John Thomas Rasberry | Dentist | 1930 Edwards Lake Road, Suite 134, Birmingham, AL 35235 | 2006-10-03 |
Street Address |
8602 PEACH AVE TTHSC/TDCJ/JOHN T. MONTFORD MEDICAL/PSYCH UNIT |
City | LUBBOCK |
State | TX |
Zip Code | 79404-7777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336703933 | Edwin James Stow | Nurse Practitioner | 8602 Peach Ave, Lubbock, TX 79404-7777 | 2019-04-29 |
1760915599 | Sonya Nicole Carson | Social Worker | 8602 Peach Ave, Lubbock, TX 79404-7777 | 2017-04-08 |
1376883967 | Michelle Valentina Gaines | Psychologist | 8602 Peach Ave, Lubbock, TX 79404-7777 | 2013-02-19 |
1699080978 | James Robert Matthews | Family Medicine | 8602 Peach Ave, Lubbock, TX 79404-7777 | 2010-08-11 |
1255563672 | Laboratory Corporation of America | Clinical Medical Laboratory | 8602 Peach Ave, Lubbock, TX 79404-7777 | 2009-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447813597 | Tiffany N Coomer | Pharmacist | 8062 Peach St, Lubbock, TX 79404 | 2019-04-15 |
1174712756 | American Current Care, P.a. | Clinic/Center | 160 Slaton Road, Lubbock, TX 79404 | 2007-10-18 |
1104029875 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 160 Slaton Highway, Lubbock, TX 79404 | 2007-06-08 |
1356385504 | Warden Lamar Palmer | Nurse Practitioner | 1802 E 50th St, Suite 104, Lubbock, TX 79404 | 2006-06-16 |
1043272834 | Cherrylene A Lindgren | Family Medicine | 4105 I-27, Lubbock, TX 79404 | 2006-04-05 |
1528030087 | Community Health Center of Lubbock, Inc. | Clinic/Center | 2301 Cedar Ave, Lubbock, TX 79404 | 2006-02-07 |
1871564708 | William Benjamin Edwards | Family Medicine | 1802 E 50th Street, Suite 104, Lubbock, TX 79404 | 2006-01-30 |
1932181971 | Nancy Valdez | Pediatrics | 307 54th St, Lubbock, TX 79404 | 2005-11-16 |
1215192091 | Elizabeth Ann Scott | Counselor | 301 40th St, Lubbock, TX 79404 | 2008-07-22 |
1326240250 | Lee Michael Cohen | Psychologist | 1950 Aspen, Lubbock, TX 79404 | 2007-06-04 |
Find all providers in zip 79404 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265985626 | Jennifer Donnelly Cushman | Physician Assistant | 7201 76th St, Lubbock, TX 79424-0722 | 2016-08-02 |
1063489078 | Suzanne Self | Physician Assistant | 10507 Quaker Ave, Suite A, Lubbock, TX 79424-8442 | 2006-03-08 |
1386091775 | Lauren Wheeler | Physician Assistant | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2016-05-16 |
1255703849 | Weldon L. Ash | Physician Assistant | 3809 22nd Street, Lubbock, TX 79410-1198 | 2015-10-22 |
1639574957 | April Ehlers | Physician Assistant | 5915 82nd St, Lubbock, TX 79424-3673 | 2014-10-29 |
1598194136 | Gerald Joe Hargrave II | Physician Assistant | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2013-11-04 |
1760754402 | Lauren M Greenfield | Physician Assistant | 4321 Marsha Sharp Fwy, Lubbock, TX 79407-2504 | 2012-01-26 |
1629305339 | Michael Matthew Pringle | Physician Assistant | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2009-11-17 |
1295987410 | Micah Danielle Lust | Physician Assistant | 7008 Indiana Ave, Ste. A, Lubbock, TX 79413-6114 | 2008-10-21 |
1578712196 | Michael Travis | Physician Assistant | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2008-09-18 |
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.