Active NPI
Shaun Mantooth, PA
- Physician Assistant
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10211
- Practice address
- 6002 Slide Rd Ste D24
Lubbock, TX 79414-4310 - Phone
- (806) 761-0450
- Fax
- (806) 796-7259
- NPI assigned
- Oct 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10211 | TX | Primary |
Addresses
Primary practice location
6002 Slide Rd Ste D24
Lubbock, TX 79414-4310
Mailing address
5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3537
Phone (806) 761-0333
Other practice location 1
602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 642529 | Other | TX | TEMPORARY LIC NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shaun.mantooth1@direct.myteamcare.com | Direct | UMC Physicians |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11011 Slide Rd
Lubbock, TX 79424-2274
Phone (806) 775-8459
6002 Slide Rd
D24
Lubbock, TX 79414-4310
Phone (806) 761-0450
602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-9700
7501 Quaker Ave
Lubbock, TX 79424-3367
Phone (806) 788-3306
808 Joliet Ave
Unit 110
Lubbock, TX 79415-1148
Phone (806) 761-0545
Hospital & facility affiliations
- University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umc Physicians | Physician Assistant | Current | Accepting new patients |
Locations
6002 Slide Rd
Ste D24
Lubbock, TX 79414
Phone (806) 761-0450
808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400
3502 9th St
Ste 380
Lubbock, TX 79415
Phone (806) 722-7400
7501 Quaker Ave
Lubbock, TX 79424
Phone (806) 785-7676
5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
Interoperability endpoints
- shaun.mantooth1@direct.myteamcare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1508855578
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1326419748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 CITY BANK PKWY STE 35",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794073537",
"telephone_number": "806-761-0333",
"fax_number": "806-782-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 SLIDE RD STE D24",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794144310",
"telephone_number": "806-761-0450",
"fax_number": "806-796-7259"
}
],
"practiceLocations": [
{
"address_1": "602 Indiana Ave",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794153364",
"country_code": "US",
"telephone_number": "806-775-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANTOOTH",
"first_name": "SHAUN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-12",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEMPORARY LIC NUMBER",
"identifier": "642529",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shaun.mantooth1@direct.myteamcare.com",
"affiliation": "Y",
"affiliationName": "UMC Physicians",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6002 Slide Rd Ste D24",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794144310",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.