LARA W. JOHNSON (NPI# 1881608040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881608040 |
| Entity Type | Individual |
| Full Name | LARA W. JOHNSON |
| Credential | M.D. |
| Practice Address |
4015 22nd Pl Lubbock TX 79410-1119 |
| Mailing Address |
Po Box 5865 Lubbock TX 79408-5865 |
| Practice Telephone | 8067256000 |
| Practice Fax Number | 8067237753 |
| Mailing Telephone | 8067432898 |
| Mailing Fax Number | 8067432787 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | M1801 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | FIRSTCARE COMMERCIAL | 144240100 | 01 |
| NM | 202000094 | 05 | |
| TX | BC/BS | 8G6055 | 01 |
| OK | 200059820A | 05 | |
| TX | HMO BLUE | 8S6820 | 01 |
| TX | 175706402 | 05 | |
| NM | PRESBYTERIAN COMMERCIAL | 202000094 | 01 |
| NM | 35808012 | 05 | |
| TX | 144240101 | 05 | |
| TX | 175706401 | 05 | |
| TX | SECTION 1011 | 450686CI38448 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 4th St, 4b174, Lubbock, TX 794300002 | 8067437337 | 8067437329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629476999 | Lara Johnson | Counselor | 1402 Skyline Dr, Elkhorn, NE 68022-1784 | 2014-12-18 |
| 1174881775 | Lara Kathleen Johnson | Specialist/Technologist | 111 Bridge St, Tionesta, PA 16353-9737 | 2012-05-02 |
| 1881966430 | Lara C Johnson | Physical Therapist | 2995 Baseline Rd Ste 100, Boulder, CO 80303-2318 | 2012-01-29 |
| 1386668572 | Lara Elizabeth Johnson | Physician Assistant | 13203 Ladybank Ln, Herndon, VA 20171-4031 | 2006-07-27 |
| 1710923487 | Lara Breed Johnson | Social Worker | 3217 Broadway St, Suite 150, Kansas City, MO 64111-2656 | 2006-06-21 |
| 1679583355 | Lara Johnson | Family Medicine | 5000 Harry Hines Blvd, Dallas, TX 75235-7721 | 2006-08-08 |
| Street Address |
4015 22ND PL |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005233 | Shanna Diane Morrow | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2018-12-31 |
| 1609380666 | Whitney Kay Dean | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-11-28 |
| 1144733262 | Kira Cox | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-11-10 |
| 1912426487 | Mandy Lee | Registered Nurse | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-09-15 |
| 1316484538 | Haley Rowden | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-01-25 |
| 1730540097 | Ashley Dometrius | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2016-03-15 |
| 1396156857 | Caleb John Cook | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410 | 2014-05-17 |
| 1962813600 | Danielle Walker | Pediatrics | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2014-05-15 |
| 1023456431 | Natalie Nimer Smith | Pediatrics | 4015 22nd Pl, Lubbock, TX 79410 | 2013-06-07 |
| 1164781381 | Stacy Elaine Neudorf | Physician Assistant | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2012-05-08 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427611854 | South Central Physicians Pllc | Hospitalist | 1602 Avenue Q, Lubbock, TX 79401-4732 | 2019-04-22 |
| 1932620119 | Sonia Joseph Durham | Hospitalist | 3601 4th St Stop 9406, Lubbock, TX 79430-9406 | 2017-06-28 |
| 1699205682 | Rebekah L Wells | Hospitalist | 602 Indiana Ave, Lubbock, TX 79415 | 2017-06-13 |
| 1396156857 | Caleb John Cook | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410 | 2014-05-17 |
| 1477821106 | Theophilus O Olumese | Hospitalist | 3506 21st St, Suite 605, Lubbock, TX 79410-1212 | 2011-12-08 |
| 1730476052 | Ngozi Eboh | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410 | 2011-07-07 |
| 1093009631 | Shaughn Michael Nunez | Hospitalist | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2011-05-31 |
| 1164736955 | Khaled Ali B Sherif | Hospitalist | 3615 19th St, Box 162, Lubbock, TX 79410-1203 | 2010-08-04 |
| 1528389061 | Audra Bowman | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2010-06-18 |
| 1578889051 | Summer Danielle Davies | Hospitalist | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2010-04-09 |
| 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.