Sergio Lara MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L3371 Issued in TX

Legal business name

SERGIO LARA MD PA

Practice address

2222 W 24TH St
Plainview, TX 79072-1802

Phone

(806) 293-5113

Fax

(806) 296-7990

NPI assigned

Apr 21, 2009

Last updated

Aug 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sergio A Lara, MDNPI 1578639621

Title

Physician

Phone

(806) 293-5113

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sergio Andres Lara, MD

  • Internal Medicine Physician
  • Plainview, TX
  • NPI 1578639621
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1205070398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W 24TH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721802",
            "telephone_number": "806-293-5113",
            "fax_number": "806-296-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W 24TH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721802",
            "telephone_number": "806-293-5113",
            "fax_number": "806-296-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO LARA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "806-293-5113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202323601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Schulte, SLP
• Krisann Elizabeth Schulz, PA
• Searobin Inpatient Services PLLC
• Jennifer Sepeda, FNP
• Sera Rose Assisted Living
• Ronald Shaffer, CST, CSFA
• Tariq S Shamsi, M.D.
• Luke Sherman, OD
• Kelli Nicole Shurbet, RN
• Sidney Ontai MD Association

• Internal Medicine Physician in Plainview, TX
• Providers in Plainview, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.