Susan Robertson Devine MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

H9883 Issued in TX

Legal business name

SUSAN ROBERTSON DEVINE MD

Doing business as

Devine ObGyn PA

Practice address

4403 6TH St
Lubbock, TX 79416-4733

Phone

(806) 791-1122

Fax

(806) 791-2252

NPI assigned

Jun 29, 2015

Last updated

Dec 9, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Robertson Devine, M.D.NPI 1518986827

Title

President

Phone

(806) 791-1122

Specialties & licenses 1

Addresses

Other names 1

• Devine ObGyn PA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Robertson Devine, MD

  • Specialist
  • Lubbock, TX
  • NPI 1518986827
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1003299850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164733",
            "telephone_number": "806-791-1122",
            "fax_number": "806-791-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164733",
            "telephone_number": "806-791-1122",
            "fax_number": "806-791-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ROBERTSON DEVINE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ROBERTSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-791-1122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H9883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devine ObGyn PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pichatorn Suppakitjanusant, MD
• Monet Supple, DPT
• Support Medical Company
• Napat Suriyathumrongkul, M.D.
• Susan R Devine MD PA Dba Devine OBGYN PA (Devine ObGyn PA)
• Cole Adam Sutak, DMD
• Brenda Jean Suter
• Patricia Sutker, PHD
• Alyssa Sutton, APRN
• Audrey Sutton, RN

• Obstetrics & Gynecology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.