DR. JOHN IACUONE (NPI# 1578554184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578554184 |
| Entity Type | Individual |
| Full Name | DR. JOHN IACUONE |
| Credential | M.D. |
| Practice Address |
6630 Quaker Ave Suite I Lubbock TX 79413-5900 |
| Mailing Address |
Po Box 5865 Lubbock TX 79408-5865 |
| Practice Telephone | 8067437337 |
| Practice Fax Number | 8067432314 |
| Mailing Telephone | 8067432898 |
| Mailing Fax Number | 8067432787 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
E7627 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | HMO BLUE | 87516Z | 01 |
| NM | PRESBYTERIAN COMMERCIAL | 18029 | 01 |
| TX | BC/BS | 89C160 | 01 |
| NM | U3067 | 05 | |
| TX | DPS | P0030946 | 01 |
| NM | 18029 | 05 | |
| TX | DEA | AI7515224 | 01 |
| NM | TRIWEST | D002 | 01 |
| Street Address |
6630 QUAKER AVE SUITE I |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79413-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603197 | Diane Kretschmer | Pharmacist | 6630 Quaker Ave, Suite G, Lubbock, TX 79413-5900 | 2005-07-19 |
| 1356336259 | Beverly Stanford Abney | Pharmacist | 6630 Quaker Ave, Suite G, Lubbock, TX 79413-5900 | 2005-09-16 |
| 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 | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952523458 | Chibuzo C. O'suoji | Pediatrics | 602 Indiana Ave, Lubbock, TX 79415 | 2007-05-03 |
| 1013947043 | Latha Prasannan | Pediatrics | 4102 24th St, Ste 201, Lubbock, TX 79410-1806 | 2006-07-04 |
| 1033185608 | Ihsan Al-khalil | Pediatrics | 3601 4th St, Lubbock, TX 79430-0002 | 2006-02-24 |
| 1548241722 | Melanie G. Oblender | Pediatrics | 3615 19th St, W322, Lubbock, TX 79410-1203 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437577111 | Ayten Cangir I | Pediatrics | 10 Summer Prt, Spring, TX 77381-4270 | 2014-03-31 |
| 1356776116 | Piti Techavichit | Pediatrics | 6701 Fannin Street Suit 1510, Texas Children's Hospital, Clinical Care Center, Houston, TX 77030 | 2013-09-11 |
| 1982049219 | Elizabeth Lynn Seashore | Pediatrics | 1102 Bates Ave Ste C750.01, Houston, TX 77030-2617 | 2013-04-30 |
| 1386088490 | Anil Pazhayattil George | Pediatrics | 1102 Bates Ave Ste 1630, Houston, TX 77030-2632 | 2013-04-18 |
| 1629322789 | Rosa Diaz | Pediatrics | 7676 Phoenix Dr Apt 1427, Houston, TX 77030-4724 | 2012-10-28 |
| 1871842278 | Pamela E Camacho | Pediatrics | 17580 Interstate 45 S Ste 450, The Woodlands, TX 77384-4964 | 2012-08-31 |
| 1437418167 | Taylor Olmsted Kim | Pediatrics | 1102 Bates Ave Ste C1025.06, Houston, TX 77030 | 2012-05-15 |
| 1316237332 | Alicia K Chang | Pediatrics | 1102 Bates Ave Ste 1025.06, Houston, TX 77030 | 2011-04-11 |
| 1629399092 | Tami Denise John | Pediatrics | 1615 Hermann Dr Unit 2209, Houston, TX 77004-7152 | 2010-06-18 |
| 1700118171 | Ricardo J Flores | Pediatrics | 6621 Fannin St # Cc142000, Clinical Care Center, Houston, TX 77030-2303 | 2010-02-09 |
| Find all providers with the same taxonomy | ||||
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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.