NPIMap

Organization Active NPI

Partners in Chronic Disease Management Inc

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1033438635
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PARTNERS IN CHRONIC DISEASE MANAGEMENT INC
Practice address
10907 Quaker Ave
Lubbock, TX 79424-8315
Phone
(806) 771-7798
Fax
(806) 687-9299
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Russell Backus
Title
Authorized Official
Phone
(806) 771-7798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10907 Quaker Ave
Lubbock, TX 79424-8315

Mailing address

10907 Quaker Ave
Lubbock, TX 79424-8315
Phone (806) 771-7798

Other names 1

  • Medical House Call Associates Doing business as

National Provider Directory

National Provider Directory

Locations

602 N Travis Ave
Cameron, TX 76520
Phone (254) 284-0045

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1033438635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248315",
            "telephone_number": "806-771-7798",
            "fax_number": "806-687-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248315",
            "telephone_number": "806-771-7798",
            "fax_number": "806-687-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN CHRONIC DISEASE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "BACKUS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "806-771-7798"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical House Call Associates",
            "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 Oct 7, 2010; 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.