Organization Active NPI

Terry Gage, MD

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1275721045
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F3974 Issued in TX
Legal business name
TERRY GAGE, MD
Practice address
4102 24TH St
Suite 404
Lubbock, TX 79410-1806
Phone
(806) 793-5683
Fax
(806) 793-3821
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. James Terry Gage, MD
Title
Owner
Phone
(806) 793-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F3974 TX Primary

Addresses

Primary practice location

4102 24TH St
Suite 404
Lubbock, TX 79410-1806

Mailing address

4102 24TH St
Suite 404
Lubbock, TX 79410-1806
Phone (806) 793-5683

Other identifiers 2

IdentifierTypeStateIssuer
0005QVOtherTXBLUECROSS BLUESHIELD
111493604MedicaidTX

National Provider Directory

National Provider Directory

Locations

4102 24th St
Ste 404
Lubbock, TX 79410
Phone (806) 793-5683

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1275721045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 24TH ST",
            "address_2": "SUITE 404",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101806",
            "telephone_number": "806-793-5683",
            "fax_number": "806-793-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 24TH ST",
            "address_2": "SUITE 404",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101806",
            "telephone_number": "806-793-5683",
            "fax_number": "806-793-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY GAGE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-793-5683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0005QV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111493604",
            "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 Feb 15, 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.