Active NPI
Hemmo a Bosscher, MD PA
- Interventional Pain Medicine Physician
- Lubbock, TX
National Provider Identifier
1619157484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- K3995
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170407401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.