South Plains Pediatric Cardiology, P.a.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

N9304 Issued in TX

Legal business name

SOUTH PLAINS PEDIATRIC CARDIOLOGY, P.A.

Practice address

6401 Indiana Ave Ste C
Lubbock, TX 79413-5740

Phone

(806) 441-1257

Fax

(325) 200-4498

NPI assigned

Jun 6, 2011

Last updated

Mar 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Somkiat Sopontammarak, M.D.NPI 1720242126

Title

Owner

Phone

(806) 441-1257

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Somkiat Sopontammarak, MD

  • Pediatric Cardiology Physician
  • Lubbock, TX
  • NPI 1720242126
  NPD Authorized official

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1437443538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 82ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244239",
            "telephone_number": "806-441-1257",
            "fax_number": "325-200-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 INDIANA AVE STE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135740",
            "telephone_number": "806-441-1257",
            "fax_number": "325-200-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINS PEDIATRIC CARDIOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "SOPONTAMMARAK",
        "authorized_official_first_name": "SOMKIAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-441-1257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "N9304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Plains Healthcare, Inc. (Hospice of the South Plains)
• South Plains Hearing Aid Center
• South Plains Home Health Care, LLC
• South Plains Infusion, Inc
• South Plains Pathology Inc
• South Plains Pediatric Dental Group
• South Plains Pediatric Dental Group
• South Plains Pediatric Dental Group
• South Plains Pediatric Dental Group (John S Johnson, DDS)
• South Plains Rehabilitation Hospital, LLC (South Plains Rehab Hospital, an affiliate of UMC and Encompass Health)

• Pediatric Cardiology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.