DIEGO RIVERA, M.D., P.A. (NPI# 1851575906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851575906 |
| Entity Type | Organization |
| Organization Name | DIEGO RIVERA, M.D., P.A. |
| Other Organization Name | UNIVERSITY CLINIC |
| Practice Address |
111 University Ave Lubbock TX 79415 |
| Practice Telephone | 8067474415 |
| Practice Fax Number | 8067471304 |
| Mailing Telephone | 8067474415 |
| Mailing Fax Number | 8067471304 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | DR. DIEGO RIVERA (OWNER) |
| Authorized Official Telephone | 8067474415 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G1757 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | 010066279 | 01 |
| TX | 158775001 | 05 |
| Other Name | Type Code |
|---|---|
| University Clinic | Doing Business As Name - Organization |
| Street Address |
111 UNIVERSITY AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| 1245720838 | Kelli D'ann Harris | Registered Nurse | 808 Joliet Ave Unit 220, Lubbock, TX 79415 | 2018-05-18 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1699283960 | Rhonda Lynn Romero | Family Medicine | 5519 104th St, Lubbock, TX 79424-8265 | 2018-01-19 |
| 1033645296 | Ryan Daniel Lurtsema | Family Medicine | 3601 4th Street Mail Stop 9901, Lubbock, TX 79430-0002 | 2017-05-10 |
| 1285081216 | Bobby R Patterson | Family Medicine | Ttuhsc Dept of Family & Community Medicine, 3601 4th St, Stop 8143, Lubbock, TX 79430-0001 | 2016-05-19 |
| 1851785000 | Jessica Lee Gray | Family Medicine | 4004 82nd St Ste F, Lubbock, TX 79423-2065 | 2015-03-26 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1114276276 | Marie D Percy Md Pa | Family Medicine | 4210 50th St, Suite D, Lubbock, TX 79413-3863 | 2012-09-05 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| 1154688778 | Charla Beth Allen | Family Medicine | 3601 4th St Stop 9901, Lubbock, TX 79430-9901 | 2012-04-19 |
| 1962769588 | Amy Richelle Sikes | Family Medicine | Department of Family and Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430-0001 | 2012-04-19 |
| 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.