Organization Active NPI

Johnny Qubty, MD,PA

  • Interventional Pain Medicine Physician
  • Lubbock, TX
National Provider Identifier
1023297371
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
H2703 Issued in TX
Legal business name
JOHNNY QUBTY, MD,PA
Doing business as
Johnny Qubty, MD, PA
Practice address
3601 21St St
Suite 3-a
Lubbock, TX 79410-1229
Phone
(806) 771-7877
Fax
(806) 771-7474
NPI assigned
Nov 2, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Vickey R. Cooper, CPC
Title
Billing Administrator
Phone
(806) 771-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X H2703 TX Primary

Addresses

Primary practice location

3601 21St St
Suite 3-a
Lubbock, TX 79410-1229

Mailing address

3601 21St St
Suite 3-a
Lubbock, TX 79410-1229
Phone (806) 771-5205

Other identifiers 1

IdentifierTypeStateIssuer
166281901MedicaidTX

Other names 1

  • Johnny Qubty, MD, PA Doing business as

National Provider Directory

National Provider Directory

Locations

3601 21st St
#3A
Lubbock, TX 79410
Phone (806) 796-0833

3601 21st St
Ste 3A
Lubbock, TX 79410
Phone (806) 771-7877

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1023297371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 21ST ST",
            "address_2": "SUITE 3-A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101229",
            "telephone_number": "806-771-5205",
            "fax_number": "806-771-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 21ST ST",
            "address_2": "SUITE 3-A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101229",
            "telephone_number": "806-771-7877",
            "fax_number": "806-771-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY QUBTY, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "VICKEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "806-771-5205",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "H2703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166281901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnny Qubty, MD, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.