Organization Active NPI

J.Michael Kerley, M.D., PLLC

  • Radiation Oncology Physician
  • Lubbock, TX
National Provider Identifier
1356620843
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G3515 Issued in TX
Legal business name
J.MICHAEL KERLEY, M.D., PLLC
Doing business as
Phoenix Oncology of Lubbock
Practice address
424 N Utica Ave
Lubbock, TX 79416-3035
Phone
(806) 776-8200
Fax
(806) 771-4177
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Dr. J Michael Kerley, M.D.
Title
Owner
Phone
(806) 776-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X G3515 TX Primary

Addresses

Primary practice location

424 N Utica Ave
Lubbock, TX 79416-3035

Mailing address

6565 West Loop S
Ste 400
Bellaire, TX 77401-3500
Phone (713) 589-6879

Other names 1

  • Phoenix Oncology of Lubbock Doing business as

National Provider Directory

National Provider Directory

Locations

4002 21st St
Ste A
Lubbock, TX 79410
Phone (806) 793-1406

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1356620843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S",
            "address_2": "STE 400",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013500",
            "telephone_number": "713-589-6879",
            "fax_number": "713-795-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N UTICA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163035",
            "telephone_number": "806-776-8200",
            "fax_number": "806-771-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.MICHAEL KERLEY, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "KERLEY",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-776-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "G3515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Oncology of Lubbock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2012; 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.