Active NPI
John Michael Cobb, M.D.
- Psychiatry Physician
- Lubbock, TX
National Provider Identifier
1669455846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L6013
- Practice address
- 6502 Slide Rd
Suite 311
Lubbock, TX 79424-1329 - Phone
- (806) 791-5100
- Fax
- (806) 793-4780
- NPI assigned
- Nov 22, 2005
- Last updated
- Apr 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L6013 | TX | Primary |
Addresses
Primary practice location
6502 Slide Rd
Suite 311
Lubbock, TX 79424-1329
Mailing address
PO Box 54136
Lubbock, TX 79453-4136
Phone (806) 771-1386
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162725901 | Medicaid | TX | |
| 138909100 | Other | TX | FIRSTCARE |
| 8M2230 | Other | TX | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seminole Hospital District of Gaines County Texas | Past | Accepting new patients | |
| Lubbock Regional MHMR Center | Psychiatry | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Lubbock, TX
- NPI 1043520612
-
dba Starcare Specialty Health System
- Clinic/Center
- Lubbock, TX
- NPI 1992708705
Psychiatry
-
dba Memorial Hospital
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1669455846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54136",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794534136",
"telephone_number": "806-771-1386",
"fax_number": "806-771-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6502 SLIDE RD",
"address_2": "SUITE 311",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241329",
"telephone_number": "806-791-5100",
"fax_number": "806-793-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L6013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162725901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "138909100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "8M2230",
"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 Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.