Lubbock Diagnostic Radiology, L.L.P.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P.

Practice address

4005 24TH St
Lubbock, TX 79410-1835

Phone

(806) 792-2767

Fax

(888) 861-8858

NPI assigned

Sep 28, 2006

Last updated

Nov 4, 2021By 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

Mr. Monty Medanich

Title

C.O.O.

Phone

(806) 792-2767

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 25

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.

• Michael David Gouvion, MD

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1710942529
  Medicare reassignment NPD
• Corey Hanrahan, D.O.,

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1912386970
  Medicare reassignment NPD
• James Montgomery, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1861805913
  Medicare reassignment NPD
• Brian James Bruening, M.D.

  • Vascular & Interventional Radiology Physician
  • Lubbock, TX
  • NPI 1124020318
  Medicare reassignment
• Cody Allen Cox, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1538163175
  Medicare reassignment
• Walter H Cushman, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1831193481
  Medicare reassignment
• David Lance Donaldson, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1720082274
  Medicare reassignment
• Cassy L Felts, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1760639256
  Medicare reassignment
• Michael E Knapp, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1588654107
  Medicare reassignment
• Mukul P Maheshwari, MD

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1760477236
  Medicare reassignment
• Waldo Miguel Martinez Jr., M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1144225459
  Medicare reassignment
• Gregory Scott Poe, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1053439935
  Medicare reassignment

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1215028501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1620",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794081620",
            "telephone_number": "806-792-2767",
            "fax_number": "806-791-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101835",
            "telephone_number": "806-792-2767",
            "fax_number": "888-861-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "MEDANICH",
        "authorized_official_first_name": "MONTY",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "806-792-2767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubbock County Hospital District (University Medical Center)
• Lubbock Dental and Orthodontics PLLC (Rodeo Dental and Orthodontics)
• Lubbock Dental Care Professionals, PLLC (Lubbock Dental Care)
• Lubbock Dental Implant Center PLLC (Lubbock Perio & Implant Center)
• Lubbock Dermatology and Skin Cancer Center (Lubbock Dermatology)
• Lubbock Digestive Disease Associates
• Lubbock Digestive Disease Associates (South Plains Anesthesia)
• Lubbock Emergency Physicians PA
• Lubbock Endodontics, PC
• Lubbock Essential Home Health Care Inc. (Absolute Home Medical)

• Diagnostic Radiology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.