Active NPI
Physician Network Services
- Family Medicine Physician
- Lubbock, TX
National Provider Identifier
1619136488
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 5, 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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1619136488",
"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": "2008-06-05",
"last_updated": "2008-06-05",
"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 5, 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.