SOUTH PLAINS ENDOSCOPY CENTER (NPI# 1568419323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568419323 |
| Entity Type | Organization |
| Organization Name | SOUTH PLAINS ENDOSCOPY CENTER |
| Practice Address |
3610 24th St Lubbock TX 79410-2014 |
| Practice Telephone | 8067951015 |
| Practice Fax Number | 8067712235 |
| Mailing Telephone | 8067951015 |
| Mailing Fax Number | 8067712235 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | DR. MILED JABOR (PRESIDENT) |
| Authorized Official Telephone | 8067971015 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
000278 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 451161 | 05 |
| Street Address |
3610 24TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962458075 | Steven C Block | Internal Medicine | 3610 24th St, Lubbock, TX 79410-2014 | 2006-05-26 |
| 1457828923 | Jordyn Jade Dalby | Nurse Practitioner | 3610 24th St, Lubbock, TX 79410-2014 | 2018-11-01 |
| 1649631946 | Chad Edwards | Nurse Anesthetist, Certified Registered | 3610 24th St, Lubbock, TX 79410-2014 | 2016-03-14 |
| 1679944987 | Lubbock Digestive Disease Associates | Nurse Anesthetist, Certified Registered | 3610 24th St, Lubbock, TX 79410-2014 | 2015-10-13 |
| 1255623138 | Cari Kathryn Sorrell | Internal Medicine | 3610 24th St, Lubbock, TX 79410-2014 | 2011-05-10 |
| 1609995158 | Lubbock Digestive Disease Associates | Internal Medicine | 3610 24th St, Lubbock, TX 79410-2014 | 2007-03-28 |
| 1336270818 | Helen Avalos | Nurse Anesthetist, Certified Registered | 3610 24th St, Lubbock, TX 79410-2014 | 2007-03-08 |
| 1972653517 | Rosann Marie Bierman | Nurse Anesthetist, Certified Registered | 3610 24th St, Lubbock, TX 79410-2014 | 2007-01-12 |
| 1063458719 | Usha R Ganga | Internal Medicine | 3610 24th St, Lubbock, TX 79410-2014 | 2006-06-21 |
| 1487699500 | Pablo Dulay Paragas Jr. | Internal Medicine | 3610 24th St, Lubbock, TX 79410-2014 | 2006-06-20 |
| 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 | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346512852 | Plano Endoscopy Partners Ltd | Clinic/Center | 6405 W. Parker Rd, Suite 370, Plano, TX 75093-8143 | 2012-01-30 |
| 1902036049 | Physicians Ambulatory Surgery Center, LLC | Clinic/Center | 3030 S Gessner Rd Ste 150, Houston, TX 77063-3777 | 2009-07-23 |
| 1740416924 | Fairmont Endoscopy Center | Clinic/Center | 4001 Preston Ave Ste 125, Pasadena, TX 77505-2051 | 2009-06-02 |
| 1669674552 | Houston Endoscopy and Research Center | Clinic/Center | 909 Frostwood Dr Ste 330, Houston, TX 77024-2306 | 2007-06-03 |
| 1326114869 | El Paso Center for Gastrointestinal Endoscopy, LLC | Clinic/Center | 1620 N Mesa, El Paso, TX 79902-3595 | 2006-11-27 |
| 1396762027 | Texas Gi Endoscopy Center | Clinic/Center | 2704 N Galloway, Ste 102, Mesquite, TX 75150 | 2006-07-17 |
| 1114952686 | North Richland Hills Endoscopy Center LLC | Clinic/Center | 7640 Ne Loop 820 Ste 96, North Richland Hills, TX 76180-8369 | 2006-07-12 |
| 1497724942 | Park Ventura Endoscopy Center, LLC | Clinic/Center | 3500 Preston Rd Ste 200, Plano, TX 75093-8644 | 2006-03-16 |
| 1518943679 | Dallas Endoscopy Center, Ltd | Clinic/Center | 5327 N Central Expy, Ste 200, Dallas, TX 75205-3361 | 2005-12-21 |
| 1053392878 | North Texas Endoscopy Partners Ltd. | Clinic/Center | 2023 W Mcdermott Dr, Suite 240, Allen, TX 75013-4676 | 2005-11-09 |
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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.