Organization Active NPI

Hemmo a Bosscher, MD PA

  • Interventional Pain Medicine Physician
  • Lubbock, TX
National Provider Identifier
1619157484
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K3995 Issued in TX
Legal business name
HEMMO A BOSSCHER, MD PA
Practice address
3505 22ND PL
Lubbock, TX 79410-1315
Phone
(806) 785-5700
Fax
(806) 785-6768
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Hemmo A. Bosscher, MD, PA
Title
Owner
Phone
(806) 785-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X K3995 TX Primary

Addresses

Primary practice location

3505 22ND PL
Lubbock, TX 79410-1315

Mailing address

PO Box 6610
Lubbock, TX 79493-6610
Phone (806) 796-9597

Other identifiers 1

IdentifierTypeStateIssuer
170407401MedicaidTX

National Provider Directory

National Provider Directory

Locations

4110 22nd Pl
Ste 102
Lubbock, TX 79410
Phone (806) 281-1632

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1619157484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6610",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794936610",
            "telephone_number": "806-796-9597",
            "fax_number": "806-799-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101315",
            "telephone_number": "806-785-5700",
            "fax_number": "806-785-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMMO A BOSSCHER, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "BOSSCHER",
        "authorized_official_first_name": "HEMMO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-785-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K3995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170407401",
            "state": "TX"
        }
    ],
    "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 Jul 17, 2014; 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.