Active NPI
Kidney Disease Specialists of West Texas PA
- Nephrology Physician
- Lubbock, TX
National Provider Identifier
1083856512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- J4599
- Legal business name
- KIDNEY DISEASE SPECIALISTS OF WEST TEXAS PA
- Practice address
- 3801 21St St Ste 200
Lubbock, TX 79410-1006 - Phone
- (806) 687-0338
- Fax
- (806) 687-4326
- NPI assigned
- Mar 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea G Schmidt, BA
- Title
- Administrator
- Phone
- (806) 798-1594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | J4599 | TX | Primary |
Addresses
Primary practice location
3801 21St St Ste 200
Lubbock, TX 79410-1006
Mailing address
5109 82ND St
Ste 7 #1114
Lubbock, TX 79424-3028
Phone (806) 798-1594
Other names 1
- Larry A Warmoth MD President
National Provider Directory
National Provider DirectoryLocations
5109 82nd St
Unit 7
Lubbock, TX 79424
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Lubbock, TX
- NPI 1902891815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263340800000",
"number": "1083856512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 82ND ST",
"address_2": "STE 7 #1114",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243028",
"telephone_number": "806-798-1594",
"fax_number": "806-794-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 21ST ST STE 200",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101006",
"telephone_number": "806-687-0338",
"fax_number": "806-687-4326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY DISEASE SPECIALISTS OF WEST TEXAS PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-30",
"last_updated": "2010-01-13",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "806-798-1594",
"authorized_official_credential": "BA"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "J4599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Larry A Warmoth MD President",
"code": "5",
"type": "Other Name"
}
]
}
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 Jan 13, 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.