Rushland Park Surgicenter, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RUSHLAND PARK SURGICENTER, LP

Practice address

4404 6TH St
Lubbock, TX 79416-4732

Phone

(806) 791-3377

Fax

(806) 791-3378

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. C Michel Oliva, MD

Title

Owner/Medical Director

Phone

(806) 791-3377

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lubbock Plastic Surgery Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Ambulatory surgical center certification: CCN 45C0001183

Legal name

RUSHLAND PARK SURGICENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 19, 1995

Last certification

Nov 14, 2017

Ownership / control type

Proprietary

Facility address

4404 6TH Street
Lubbock, TX 79416

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret U Leicht, M.D

  • Anesthesiology Physician
  • Lubbock, TX
  • NPI 1184601866
  NPD
• Claude Michel Oliva, MD PA

  • Interventional Pain Medicine Physician
  • Lubbock, TX
  • NPI 1104970136
  NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1023122876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164732",
            "telephone_number": "806-791-3377",
            "fax_number": "806-791-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164732",
            "telephone_number": "806-791-3377",
            "fax_number": "806-791-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHLAND PARK SURGICENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-09-02",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "MICHEL",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "806-791-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CRSS & BLUE SHIELD",
            "identifier": "000HH1371",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023122876",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lubbock Plastic Surgery Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Matthew Ruiz, SLP ASSISTANT
• Tanya Guadalupe Ruiz, LVN
• Rush and Mike Wheeler Inc
• Dustin L Rush, MAT, ATC, LAT
• Maurice Kevin Rush, CSA
• Vivian Pham Duong Rushton, PHARMD
• Cie Russell
• Elizabeth M Russell, LMT
• Mark Dale Russell, D.C.
• Tanya Russell, FNP

• Ambulatory Surgical Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.