Active NPI
Lubbock Gynecologic Oncology Associates, LLP
- Gynecology Physician
- Lubbock, TX
National Provider Identifier
1639163231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- LUBBOCK GYNECOLOGIC ONCOLOGY ASSOCIATES, LLP
- Practice address
- 3621 22ND St
Suite 100
Lubbock, TX 79410-1301 - Phone
- (806) 796-1317
- Fax
- (806) 796-0426
- NPI assigned
- Sep 9, 2005
- Last updated
- Aug 22, 2020
- 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
- Rosemary Phillips, BBA
- Title
- Administrator
- Phone
- (806) 796-1317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
3621 22ND St
Suite 100
Lubbock, TX 79410-1301
Mailing address
3621 22ND St
Suite 100
Lubbock, TX 79410-1301
Phone (806) 796-1317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00897K | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639163231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 22ND ST",
"address_2": "SUITE 100",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101301",
"telephone_number": "806-796-1317",
"fax_number": "806-796-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 22ND ST",
"address_2": "SUITE 100",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101301",
"telephone_number": "806-796-1317",
"fax_number": "806-796-0426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUBBOCK GYNECOLOGIC ONCOLOGY ASSOCIATES, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "806-796-1317",
"authorized_official_credential": "BBA"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00897K",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Lubbock Emergency Physicians PA
- Lubbock Endodontics, PC
- Lubbock Essential Home Health Care Inc. (Absolute Home Medical)
- Lubbock Essential Home Health Care, Inc (Essential Home Health)
- Lubbock Gastroenterology & Liver Associates PLLC
- Lubbock Hand Therapy PLLC
- Lubbock Heart Hospital
- Lubbock Heart Hospital, LLC (Lubbock Heart Hospital)
- Lubbock Heritage Hospital, LLC (Grace Medical Center)
- Lubbock Heritage Hospital, LLC. (Grace Surgical Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.