Organization Active NPI

Amity Medical Associates PLLC

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1063663789
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMITY MEDICAL ASSOCIATES PLLC
Practice address
3626 50TH St
Lubbock, TX 79413-3994
Phone
(806) 795-1800
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Cheryl Tyler, MD
Title
Director
Phone
(806) 795-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3626 50TH St
Lubbock, TX 79413-3994

Mailing address

3626 50TH St
Lubbock, TX 79413-3994
Phone (806) 795-1800

National Provider Directory

National Provider Directory

Locations

3626 50th St
Lubbock, TX 79413
Phone (806) 795-1800

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1063663789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133994",
            "telephone_number": "806-795-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133994",
            "telephone_number": "806-795-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-795-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 1, 2008; 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.