Organization Active NPI

Jane M. Rowley, M.D., P.a.

  • Plastic Surgery Physician
  • Lubbock, TX
National Provider Identifier
1104185859
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
K3442 Issued in TX
Legal business name
JANE M. ROWLEY, M.D., P.A.
Practice address
3519 22ND PL
Lubbock, TX 79410-1315
Phone
(806) 792-3715
Fax
(806) 792-1645
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Dr. Jane M. Rowley, M.D.NPI 1992806582
Title
President
Phone
(806) 792-3715

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X K3442 TX Primary

Addresses

Primary practice location

3519 22ND PL
Lubbock, TX 79410-1315

Mailing address

3519 22ND PL
Lubbock, TX 79410-1315
Phone (806) 792-3715

Other identifiers 4

IdentifierTypeStateIssuer
52393MedicaidTX
86810FOtherTXMEDICARE ID TYPE UNSPECIFIED
0038BVOtherTXMEDICARE PTAN
86810FOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120605000385 TX Part B Supplier - Clinic/Group Practice 6103080098 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

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": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1104185859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101315",
            "telephone_number": "806-792-3715",
            "fax_number": "806-792-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101315",
            "telephone_number": "806-792-3715",
            "fax_number": "806-792-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE M. ROWLEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "ROWLEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-792-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K3442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52393",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "86810F",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0038BV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86810F",
            "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 Jun 1, 2012; 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.