LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES (NPI# 1669909404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669909404 |
| Entity Type | Organization |
| Organization Name | LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES |
| Other Organization Name | LUBBOCK VASCULAR ACCESS |
| Practice Address |
1126 Slide Rd Suite # 1 Lubbock TX 79416-5462 |
| Practice Telephone | 8067922222 |
| Mailing Telephone | 8067922222 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | JENNIFER LEE COLEMAN (FACILITY ADMINISTRATION) |
| Authorized Official Telephone | 8067938447 |
| Authorized Official Credential | NP |
| Is Organization Subpart | Y |
| Parent Organization Name | LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
14579 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lubbock Vascular Access | Doing Business As Name - Organization |
| Street Address |
1126 SLIDE RD SUITE # 1 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-5462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776732 | Clarence Joseph Wheeler IIi | Specialist | 1126 Slide Rd, 4b, Lubbock, TX 79416-5402 | 2005-08-10 |
| 1992248512 | Lubbock Vascular Access Center | Clinic/Center | 1126 Slide Rd, Suite 1, Lubbock, TX 79416-5462 | 2016-11-30 |
| 1518233212 | The Kidney Care Center, LLC | Clinic/Center | 1126 Slide Rd, Suite 4b, Lubbock, TX 79416-5402 | 2012-03-27 |
| 1700018991 | Yvette Corinne Tomacruz | Internal Medicine | 1126 Slide Rd, Suite 4-b, Lubbock, TX 79416-5402 | 2009-08-20 |
| 1154545036 | Lubbock Kidney and Blood Pressure Clinic Pa | Durable Medical Equipment & Medical Supplies | 1126 Slide Rd, Suite 4-b, Lubbock, TX 79416-5402 | 2007-04-12 |
| 1316958663 | Lubbock Kidney & Blood Pressure Clinic P A | Internal Medicine | 1126 Slide Rd, Suite 4b, Lubbock, TX 79416-5402 | 2006-08-11 |
| 1447280664 | Southwest Medical Supply Co Inc. | Clinic/Center | 1126 Slide Rd, Suite 4b, Lubbock, TX 79416-5402 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1093895757 | Patrick D Reeves Mdpa | Clinic/Center | 4315 28th Street, Suite 2, Lubbock, TX 79410 | 2006-10-17 |
| 1871608216 | Covenant High Plains Surgery Center, LLC | Clinic/Center | 3610 22nd Street, Lubbock, TX 79410-1307 | 2006-08-19 |
| 1932104064 | Northstar Surgical Center Lp | Clinic/Center | 4640 N Loop 289, Lubbock, TX 79416-2423 | 2005-06-15 |
| 1992248512 | Lubbock Vascular Access Center | Clinic/Center | 1126 Slide Rd, Suite 1, Lubbock, TX 79416-5462 | 2016-11-30 |
| 1003264425 | Lubbock Plastic Surgery Center, Lp | Clinic/Center | 10105 Quaker Ave, Lubbock, TX 79424-7380 | 2016-05-26 |
| 1134364581 | Lubbock County Hospital District | Clinic/Center | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2008-12-12 |
| 1639370638 | West Texas Pain Institute, LLC | Clinic/Center | 4316 23rd St, Lubbock, TX 79410-1812 | 2007-05-29 |
| 1538245717 | Lubbock County Hospital District | Clinic/Center | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-10-31 |
| 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.