NPIMap

Organization Active NPI

Susan R Devine MD PA Dba Devine OBGYN PA

Doing business as Devine ObGyn PA

  • Obstetrics & Gynecology Physician
  • Lubbock, TX
National Provider Identifier
1568840767
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SUSAN R DEVINE MD PA DBA DEVINE OBGYN PA
Doing business as
Devine ObGyn PA
Practice address
4403 6TH St
Lubbock, TX 79416-4733
Phone
(806) 791-1122
Fax
(806) 791-2252
NPI assigned
May 8, 2015
Last updated
Oct 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Candy M Buffington, RN
Title
Office Manager
Phone
(806) 791-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

4403 6TH St
Lubbock, TX 79416-4733

Mailing address

4403 6TH St
Lubbock, TX 79416-4733
Phone (806) 791-1122

Other names 1

  • Devine ObGyn PA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1568840767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164733",
            "telephone_number": "806-791-1122",
            "fax_number": "806-791-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164733",
            "telephone_number": "806-791-1122",
            "fax_number": "806-791-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN R DEVINE MD PA DBA DEVINE OBGYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "BUFFINGTON",
        "authorized_official_first_name": "CANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-791-1122",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devine ObGyn PA",
            "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 Oct 6, 2015; 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.