Active NPI
Neonatal Intensive Care Associates
- Neonatal-Perinatal Medicine Physician
- Lubbock, TX
National Provider Identifier
1306049242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- F5874
- Legal business name
- NEONATAL INTENSIVE CARE ASSOCIATES
- Practice address
- 4000 24TH St
Nicu
Lubbock, TX 79410-1894 - Phone
- (806) 725-4251
- Fax
- (806) 799-6908
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edwin A Contreras, M.D.
- Title
- President
- Phone
- (806) 725-4251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | F5874 | TX | Primary |
Addresses
Primary practice location
4000 24TH St
Nicu
Lubbock, TX 79410-1894
Mailing address
PO Box 6610
Lubbock, TX 79493-6610
Phone (806) 796-0507
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V7612 | Medicaid | NM | |
| 00F20Y | Other | MEDICARE ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1306049242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6610",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794936610",
"telephone_number": "806-796-0507",
"fax_number": "806-799-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 24TH ST",
"address_2": "NICU",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101894",
"telephone_number": "806-725-4251",
"fax_number": "806-799-6908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEONATAL INTENSIVE CARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "CONTRERAS",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "806-725-4251",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "F5874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "V7612",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "00F20Y",
"state": null
}
],
"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 2, 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.