Organization Active NPI

Women'S Oncology, PLLC

  • Gynecologic Oncology Physician
  • Lubbock, TX
National Provider Identifier
1073042859
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
WOMEN'S ONCOLOGY, PLLC
Practice address
3612 22ND PL
Lubbock, TX 79410-1318
Phone
(806) 503-2600
Fax
(806) 503-2608
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Thahir Farzan, MDNPI 1174543698
Title
President and Sole Member
Phone
(806) 223-9489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

3612 22ND PL
Lubbock, TX 79410-1318

Mailing address

6328 Hampton Dr
Amarillo, TX 79109-6522
Phone (806) 223-9489

Other practice location 1

7201 SW 34th Ave
Amarillo, TX 79109-3900
Phone (806) 503-2600

Other identifiers 1

IdentifierTypeStateIssuer
59951OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171011000127 TX Part B Supplier - Clinic/Group Practice 1355616707 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX; Lubbock, TX

National Provider Directory

National Provider Directory

Locations

7201 SW 34th Ave
Amarillo, TX 79109
Phone (806) 310-0500

Practitioners & affiliated clinicians

Practitioners 1

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": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1073042859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 HAMPTON DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096522",
            "telephone_number": "806-223-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101318",
            "telephone_number": "806-503-2600",
            "fax_number": "806-503-2608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 SW 34th Ave",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791093900",
            "country_code": "US",
            "telephone_number": "806-503-2600",
            "fax_number": "806-506-2608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMEN'S ONCOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FARZAN",
        "authorized_official_first_name": "THAHIR",
        "authorized_official_title_or_position": "PRESIDENT AND SOLE MEMBER",
        "authorized_official_telephone_number": "806-223-9489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "59951",
            "state": "TX"
        }
    ],
    "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.