Individual provider Active NPI

John Teague

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
National Provider Identifier
1588969588
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
672425 Issued in TX
Practice address
Texas Tech University Health Sciences Ctr
3601 4TH Street, Ms 8182
Lubbock, TX 79430-0001
Phone
(806) 743-2981
Fax
(806) 743-2982
NPI assigned
Jan 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 672425 TX Primary

Addresses

Primary practice location

Texas Tech University Health Sciences Ctr
3601 4TH Street, Ms 8182
Lubbock, TX 79430-0001

Mailing address

Texas Tech University Health Sciences Ctr
3601 4TH Street, Ms 8182
Lubbock, TX 79430-0001
Phone (806) 743-2981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110606000534 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931386604 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3601 4TH St
1B350K
Lubbock, TX 79430-8182
Phone (806) 743-2981

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
672425TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2019 Accepting new patients
Lamb Healthcare Center CurrentSince Mar 5, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2019 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Feb 23, 2017 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Terry Memorial Hospital District CurrentSince Nov 8, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Feb 23, 2017 Accepting new patients
County of Ward CurrentSince Feb 15, 2019 Accepting new patients
Lubbock Gastroenterology & Liver Associates PLLC CurrentSince Jan 15, 2024 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2012 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
MCH Professional Care Hospital Based CurrentSince Apr 1, 2023 Accepting new patients
Lamb Healthcare Center CurrentSince Mar 5, 2020 Accepting new patients
Terry Memorial Hospital District Nurse Anesthetist, Certified Registered CurrentSince Nov 8, 2023 Accepting new patients
County of Ward CurrentSince Feb 15, 2019 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

3601 4th St
#1B350K
Lubbock, TX 79430
Phone (806) 743-2981

4505 82nd St
Ste 5
Lubbock, TX 79424
Phone (806) 696-4440

3601 4th St
Stop 8182
Lubbock, TX 79430
Phone (806) 743-2981

3610 24th St
Lubbock, TX 79410
Phone (806) 793-3141

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1588969588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CTR",
            "address_2": "3601 4TH STREET, MS 8182",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300001",
            "telephone_number": "806-743-2981",
            "fax_number": "806-743-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CTR",
            "address_2": "3601 4TH STREET, MS 8182",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300001",
            "telephone_number": "806-743-2981",
            "fax_number": "806-743-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "672425",
            "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 Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.