Active NPI
Physician Network Services
- Family Medicine Physician
- Lubbock, TX
National Provider Identifier
1467611053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHYSICIAN NETWORK SERVICES
- Practice address
- 5219 City Bank Pkwy
Ste 135
Lubbock, TX 79407-3544 - Phone
- (806) 761-0333
- Fax
- (806) 722-2908
- NPI assigned
- Jun 9, 2008
- 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
- Kendra L Massey
- Title
- Enrollment Specialist
- Phone
- (806) 761-0333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5219 City Bank Pkwy
Ste 135
Lubbock, TX 79407-3544
Mailing address
5219 City Bank Pkwy
Ste 135
Lubbock, TX 79407-3544
Phone (806) 761-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040406001716 | TX | Part B Supplier - Clinic/Group Practice | 9830003631 |
Receives reassigned benefits from 128 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lubbock, TX; Slaton, TX; Wolfforth, TX; Idalou, TX |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Physician Network Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1174782940
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1336308105
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1427217298
Locations
5219 City Bank Pkwy
Ste 135
Lubbock, TX 79407
Phone (806) 761-0329
5219 City Bank Pkwy
Ste 130
Lubbock, TX 79407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1467611053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 CITY BANK PKWY",
"address_2": "STE 135",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794073544",
"telephone_number": "806-761-0333",
"fax_number": "806-722-2908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5219 CITY BANK PKWY",
"address_2": "STE 135",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794073544",
"telephone_number": "806-761-0333",
"fax_number": "806-722-2908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN NETWORK SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "MASSEY",
"authorized_official_first_name": "KENDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
"authorized_official_telephone_number": "806-761-0333"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.