TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK (NPI# 1245289537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245289537 |
| Entity Type | Organization |
| Organization Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| Other Organization Name | TTUHSC - ORTHOPAEDICS |
| Practice Address |
3601 4th St Fl 4 Lubbock TX 79430 |
| Mailing Address |
Po Box 27476 Salt Lake City UT 84127-0476 |
| Practice Telephone | 8067432475 |
| Practice Fax Number | 8067432478 |
| Mailing Telephone | 8067434263 |
| Mailing Fax Number | 8067432787 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | BRENT MAJORS (ASSISTANT DEAN OF FINANCE ADMIN) |
| Authorized Official Telephone | 8067431830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 140327114 | 05 | |
| TX | RAILROAD MEDICARE | CD9207 | 01 |
| TX | BC/BS | 00QQ83 | 01 |
| TX | 084589301 | 05 | |
| NM | G1217 | 05 |
| Other Name | Type Code |
|---|---|
| TTUHSC - Orthopaedics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 808 Joliet Ave Unit 210, Lubbock, TX 794151158 | 8067464600 | 8067434406 |
| 4102 24th St Ste 507, Lubbock, TX 794101805 | 8067437334 | 8067437332 |
| 4015 22nd Pl, Lubbock, TX 794101119 | 8067434265 | 8067431155 |
| 4102 24th St Ste 508, Lubbock, TX 794101805 | 8067434265 | 8067431155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861904898 | Texas Tech University Health Sciences Center Lubbock | Durable Medical Equipment & Medical Supplies | 808 Joliet Ave Unit 210, Lubbock, TX 79415-1158 | 2017-10-31 |
| 1164979142 | Texas Tech University Health Sciences Center Lubbock | Psychiatry & Neurology | 1008 Canton Ave, Room 018bf, Lubbock, TX 79409-3132 | 2016-09-07 |
| 1972801223 | Texas Tech University Health Sciences Center Lubbock | Optometrist | 4004 82nd St Bldg 200, Lubbock, TX 79423-1900 | 2011-03-10 |
| 1528621240 | Texas Tech University Health Sciences Center Lubbock | Counselor | 3601 4th St, Suite 3b302, Lubbock, TX 79430-6225 | 2019-04-18 |
| 1932611969 | Texas Tech University Health Sciences Center Lubbock | Durable Medical Equipment & Medical Supplies | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2017-10-31 |
| 1336369669 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Lubbock, TX 79430-0002 | 2007-04-27 |
| 1053458026 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Ste 2a100, Lubbock, TX 79430-0002 | 2007-01-31 |
| 1538239769 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Lubbock, TX 79430-0002 | 2006-11-08 |
| 1548219827 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Ste 4a100, Lubbock, TX 79430-0002 | 2006-05-06 |
| 1184673469 | Texas Tech University Health Sciences Center Lubbock | Nurse Anesthetist, Certified Registered | 3601 4th St, Ste 1b350k, Lubbock, TX 79430-0002 | 2006-05-06 |
| Street Address |
3601 4TH ST FL 4 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063632974 | Joshua Charles Demke | Otolaryngology | 3601 4th St Fl 4, Lubbock, TX 79430-0002 | 2007-04-26 |
| 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 |
| Find all providers in zip 79430 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104143957 | Jordan Brent Simpson | Orthopaedic Surgery | 3601 4th St # Ms 9436, Lubbock, TX 79430-0002 | 2010-05-03 |
| 1295065720 | Dilip K. Pal, M.d., P.a. | Orthopaedic Surgery | 3601 22nd Pl Ste A, Lubbock, TX 79410-1341 | 2010-01-06 |
| 1154384543 | George W. Brindley | Orthopaedic Surgery | 3502 9th Street, Suite 450, Lubbock, TX 79415-3368 | 2006-04-08 |
| 1528020336 | Jerry Speight Grimes Jr. | Orthopaedic Surgery | 4642 N Loop 289 Ste 101, Lubbock, TX 79416-2422 | 2006-04-05 |
| 1710948815 | Robert Gaines | Orthopaedic Surgery | 3506 21st St Ste 203, Lubbock, TX 79410-1211 | 2006-03-29 |
| 1356312359 | Amy Elizabeth Henning | Orthopaedic Surgery | 4102 24th St Ste 506, Lubbock, TX 79410-1805 | 2006-01-28 |
| 1821611294 | Regal Park Multi-speciality Group, LLP | Orthopaedic Surgery | 8214 Milwaukee Ave, Lubbock, TX 79424-0923 | 2020-05-20 |
| 1407376163 | Jon Cooper Wall Jr. | Orthopaedic Surgery | 3601 4th St # Ms 9436, Lubbock, TX 79430-0002 | 2017-06-23 |
| 1366962029 | Amanda Murray Purcell | Orthopaedic Surgery | 3601 4th St # Ms 9436, Lubbock, TX 79430-0002 | 2017-06-23 |
| 1346760089 | Dylan Thomas Homen | Orthopaedic Surgery | 3601 4th St # Ms 9436, Lubbock, TX 79430-0002 | 2017-06-23 |
| 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.