PAUL ANDERSON (NPI# 1386625747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386625747 |
| Entity Type | Individual |
| Full Name | PAUL ANDERSON |
| Other Name | PAUL ANDERSON |
| Credential | M.D. |
| Practice Address |
4101 22nd Pl Lubbock TX 79410-1121 |
| Mailing Address |
4302 22nd Pl Lubbock TX 79410-1140 |
| Practice Telephone | 8067961122 |
| Practice Fax Number | 8067961401 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2009-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
J8197 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
97-180 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 83628223 | 05 | |
| NM | BCBS | NM01XZ72 | 01 |
| NM | RAILROAD MEDICARE | 920004023 | 01 |
| TX | BCBS | 87480G | 01 |
| TX | 1106056-03 | 05 | |
| TX | RAILROAD MEDICARE | P00759261 | 01 |
| TX | FIRSTCARE | 107537100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188146 | Paul Taylor Anderson | Specialist/Technologist | 11672 Stockmeyer Dr, El Paso, TX 79936-0813 | 2019-01-24 |
| 1184096976 | Paul David Anderson Jr. | Home Health Aide | 118 Morell Dr, Simpsonville, SC 29681-4677 | 2015-10-20 |
| 1083850671 | Paul S Anderson | Counselor | 220 Vinita Rd, Nowata, OK 74048-9443 | 2009-01-02 |
| 1063663540 | Paul D. Anderson | Physical Therapist | 75 W Main Street Ct Ste 100, Alpine, UT 84004-5602 | 2008-10-02 |
| 1528250396 | Paul S Anderson | Anesthesiology | 128 Peachtree Ln Ste B, Advance, NC 27006-6783 | 2007-08-15 |
| 1871783050 | Paul Leroy Anderson Jr. | Dentist | 882 Lancaster Ave, Devon, PA 19333 | 2007-07-25 |
| 1508065939 | Paul Edward Anderson | General Practice | Harboldt Rd, Altamont, TN 37301 | 2007-07-16 |
| 1629113303 | Paul Stanley Anderson | Naturopath | 2150 N. 107th St, Suite 400, Seattle, WA 98133-9009 | 2007-02-21 |
| 1043351380 | Paul Dederick Anderson | Internal Medicine | 11272 Merritt St # F, Castroville, CA 95012-3422 | 2007-02-09 |
| 1659449098 | Paul Daniel Anderson | Dentist | 4778 Banning Ave, White Bear Lake, MN 55110-3264 | 2006-12-02 |
| Street Address |
4101 22ND PL |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841271574 | Thomas Neumann | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2005-11-09 |
| 1982262028 | Carol A Frentress | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410 | 2019-06-04 |
| 1053821207 | Stacy Lynn Hughes | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2017-10-02 |
| 1417401415 | Jamie Lummus | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2016-08-08 |
| 1225498819 | Tiffany Hale | Nurse Practitioner | 4101 22nd Pl, 204, Lubbock, TX 79410-1121 | 2016-02-25 |
| 1134513054 | David Kirk Jenkins | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2015-03-28 |
| 1376955435 | Gabriel Axelrud | Radiology | 4101 22nd Pl, Lubbock, TX 79410 | 2014-05-23 |
| 1891037388 | Lindsey L. Purdy | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2013-03-22 |
| 1780922096 | Kelli Jo Whitten | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2013-01-21 |
| 1205130218 | Jehanzeb Riaz | Internal Medicine | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2011-01-05 |
| Find all providers in the same location | ||||
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194079376 | Century Radiation Oncology Lubbock, Pllc | Radiology | 424 N. Utica, Lubbock, TX 79416-3035 | 2012-11-09 |
| 1356620843 | J.michael Kerley, M.d., Pllc | Radiology | 424 N Utica Ave, Lubbock, TX 79416-3035 | 2011-08-15 |
| 1841271574 | Thomas Neumann | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2005-11-09 |
| 1336145515 | Jui-lien Chou | Radiology | 4002 21st St, Ste A, Lubbock, TX 79410-1135 | 2005-06-22 |
| 1134513054 | David Kirk Jenkins | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2015-03-28 |
| 1376955435 | Gabriel Axelrud | Radiology | 4101 22nd Pl, Lubbock, TX 79410 | 2014-05-23 |
| 1972816239 | High Plains Radiation Oncology, LLC | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2010-07-15 |
| 1891987434 | Rufus J. Mark, M.d., P.a. | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2007-08-17 |
| 1962694505 | Paul Anderson, M.d., P.a. | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2007-08-17 |
| 1841482221 | Thomas Neumann, M.d., P.a. | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2007-08-09 |
| 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.