Organization Active NPI

Suzelle L. Moffitt, M.D., P.a.

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1215348826
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUZELLE L. MOFFITT, M.D., P.A.
Practice address
4002 22ND St
Lubbock, TX 79410-1139
Phone
(806) 370-6290
Fax
(806) 300-0211
NPI assigned
May 16, 2014
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Suzelle Moffitt
Title
MD/Owner
Phone
(806) 370-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4002 22ND St
Lubbock, TX 79410-1139

Mailing address

4002 22ND St
Lubbock, TX 79410-1139
Phone (806) 370-6290

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1215348826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101139",
            "telephone_number": "806-370-6290",
            "fax_number": "806-300-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101139",
            "telephone_number": "806-370-6290",
            "fax_number": "806-300-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZELLE L. MOFFITT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "SUZELLE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "806-370-6290"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.