EXCEPTIONAL PHYSICIANS GROUP LUBBOCK PLLC (NPI# 1568010114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568010114 |
| Entity Type | Organization |
| Organization Name | EXCEPTIONAL PHYSICIANS GROUP LUBBOCK PLLC |
| Practice Address |
4337 50th St Lubbock TX 79413-3811 |
| Practice Telephone | 4693417800 |
| Practice Fax Number | 3462151007 |
| Mailing Telephone | 4693417800 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | SAEED S MAHBOUBI (CFO) |
| Authorized Official Telephone | 4693417800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4337 50TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79413-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447603360 | Nec Lubbock Emergency Center | Clinic/Center | 4337 50th St, Lubbock, TX 79413-3811 | 2016-07-15 |
| 1851949408 | Exceptional H C Lubbock LLC | Clinic/Center | 4337 50th St, Lubbock, TX 79413-3811 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194226654 | Heritage Birth Center, LLC | Clinic/Center | 3410 Knoxville Ave, Lubbock, TX 79413 | 2018-02-21 |
| 1992216071 | Leah Beth Deboard | Counselor | 6906 Freemont Ave, Lubbock, TX 79413 | 2017-10-17 |
| 1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
| 1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
| 1982074340 | Katricia Collins | Speech-Language Pathologist | 3403 40th St, Lubbock, TX 79413 | 2015-09-29 |
| 1750771937 | Caprock Compounding Pharmacy Inc. | Pharmacy | 3007 50th Street, Lubbock, TX 79413 | 2015-01-27 |
| 1083010250 | Max Manley | Counselor | 3312 38th St., Lubbock, TX 79413 | 2014-11-14 |
| 1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
| 1619138880 | Myles Freeman Sadler | Dentist | 3315 - 64th Street, Lubbock, TX 79413 | 2008-06-20 |
| 1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
| Find all providers in zip 79413 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144648700 | Jared Walker | Emergency Medicine | 4110 17th St, Apt. 311, Lubbock, TX 79416-6042 | 2014-04-01 |
| 1629159603 | Tom R Basye | Emergency Medicine | 7905 Milwaukee Ave, Lubbock, TX 79424-0616 | 2006-10-18 |
| 1679669089 | Leslie Ralph Shauf | Emergency Medicine | 6505 2nd Street, Lubbock, TX 79416-3709 | 2006-10-04 |
| 1245252428 | Eldon Stevens Robinson | Emergency Medicine | 2602 50th St, Suite 300, Lubbock, TX 79413-4535 | 2006-07-24 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1083630610 | Concord Medical Group Pllc | Emergency Medicine | 1602 Avenue Q, Lubbock, TX 79401-4732 | 2006-07-15 |
| 1053348631 | Shelton Ray Jackson | Emergency Medicine | 4407 87th St, Lubbock, TX 79424-4229 | 2006-06-27 |
| 1629014782 | Rolando N Torio | Emergency Medicine | 5811 - 11 Place, Suite 8, Lubbock, TX 79416 | 2006-06-20 |
| 1902855653 | Lhh Emergency Physicians Pllc | Emergency Medicine | 4810 N Loop 289, Lubbock, TX 79416-3025 | 2006-05-09 |
| 1962467761 | Linda Aryain Robins | Emergency Medicine | 4015 22nd Place, Lubbock, TX 79410-1121 | 2006-04-18 |
| 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.