Organization Active NPI

Tony G. Hedges, DO, PA

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1225081276
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TONY G. HEDGES, DO, PA
Practice address
4833 50TH St
Lubbock, TX 79414-3418
Phone
(806) 771-3565
Fax
(806) 771-3560
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Cheri Isett
Title
Accountant
Phone
(806) 771-3565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4833 50TH St
Lubbock, TX 79414-3418

Mailing address

4833 50TH St
Lubbock, TX 79414-3418
Phone (806) 771-3565

Other identifiers 2

IdentifierTypeStateIssuer
CH0920OtherTXRAILROAD MEDICARE GROUP#
0202HMOtherTXBCBS OF TX GROUP #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1225081276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143418",
            "telephone_number": "806-771-3565",
            "fax_number": "806-771-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143418",
            "telephone_number": "806-771-3565",
            "fax_number": "806-771-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY G. HEDGES, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "ISETT",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "806-771-3565"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP#",
            "identifier": "CH0920",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX GROUP #",
            "identifier": "0202HM",
            "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 Jan 17, 2008; 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.