Hamed Abdulsalam Shabaneh Altamimi MD, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

HAMED ABDULSALAM SHABANEH ALTAMIMI MD, PLLC

Doing business as

ALTAMIMI GASTROENTEROLOGY

Practice address

2345 50TH St Ste 500
Lubbock, TX 79412-2565

Phone

(806) 701-5797

Fax

(806) 701-5798

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Hamed A Shabaneh Altamimi, MDNPI 1396757233

Title

Owner/President

Phone

(806) 441-9495

Specialties & licenses 1

Addresses

Other names 1

• ALTAMIMI GASTROENTEROLOGY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamed Abdulsalam Shabaneh Al-Tamimi, M.D.

  • Gastroenterology Physician
  • Lubbock, TX
  • NPI 1396757233
  Medicare reassignment NPD Authorized official
• Leslie Koziar Shaw, RN,FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1386742989
  NPD
• Salman Ahmad, MD

  • Internal Medicine Physician
  • Lubbock, TX
  • NPI 1043281025
  NPD (past)

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1225786122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16770",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906770",
            "telephone_number": "806-701-5797",
            "fax_number": "806-701-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 50TH ST STE 500",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122565",
            "telephone_number": "806-701-5797",
            "fax_number": "806-701-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMED ABDULSALAM SHABANEH ALTAMIMI MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "SHABANEH ALTAMIMI",
        "authorized_official_first_name": "HAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "806-441-9495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTAMIMI GASTROENTEROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanqian Hall
• Andrea Haller
• Stephen J Hallier, M.D.
• Nathan G Halsell, D.C.
• John David Hamblen, D.D.S.
• Adrianne Hamilton, LCSW
• Emily Marie Hamilton, M.MFT, LMFT
• James D Hamilton, OD
• Kimberly Ethridge Hamilton, LPC, RN
• Shanna L Hamilton, RPH

• Gastroenterology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.