Organization Active NPI

Exceptional Physicians Group Lubbock Hospital PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
National Provider Identifier
1275317646
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EXCEPTIONAL PHYSICIANS GROUP LUBBOCK HOSPITAL PLLC
Practice address
6401 Spur 327
Lubbock, TX 79424-2719
Phone
(806) 630-4501
Fax
(469) 341-7887
NPI assigned
Aug 24, 2023
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Mr. Ronald Ivan Collins
Title
Financial System Advisor
Phone
(972) 740-9335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

6401 Spur 327
Lubbock, TX 79424-2719

Mailing address

3514 Cedar Springs Rd
Dallas, TX 75219-4901
Phone (469) 341-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240311003476 TX Part B Supplier - Clinic/Group Practice 9931545175 Receives reassigned benefits from 29 practitioners
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

6401 Spur 327
Lubbock, TX 79424
Phone (436) 341-7800

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1275317646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194901",
            "telephone_number": "469-341-7800",
            "fax_number": "469-341-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 SPUR 327",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242719",
            "telephone_number": "806-630-4501",
            "fax_number": "469-341-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL PHYSICIANS GROUP LUBBOCK HOSPITAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "FINANCIAL SYSTEM ADVISOR",
        "authorized_official_telephone_number": "972-740-9335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "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 Feb 15, 2024; 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.