NPIMap

Organization Active NPI

Neurosurgery Associates of Lubbock, LLP

  • Neurological Surgery Physician
  • Lubbock, TX
National Provider Identifier
1679994586
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
J8376 Issued in TX
Legal business name
NEUROSURGERY ASSOCIATES OF LUBBOCK, LLP
Practice address
4408 6TH St
Lubbock, TX 79416-4732
Phone
(806) 791-0399
Fax
(806) 791-0373
NPI assigned
Dec 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Mark D'Alise, M.D.
Title
Owner
Phone
(806) 791-0399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X J8376 TX Primary

Addresses

Primary practice location

4408 6TH St
Lubbock, TX 79416-4732

Mailing address

4408 6TH St
Lubbock, TX 79416-4732
Phone (806) 791-0399

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: shelleymcelhanon@lbmdc.allscriptsdirect.net
  • Direct secure messaging: kimberlynoonan@lbmdc.allscriptsdirect.net
  • Direct secure messaging: larryberman@lbmdc.allscriptsdirect.net
  • Direct secure messaging: dalenacuster@lbmdc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1679994586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164732",
            "telephone_number": "806-791-0399",
            "fax_number": "806-791-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164732",
            "telephone_number": "806-791-0399",
            "fax_number": "806-791-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY ASSOCIATES OF LUBBOCK, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "D'ALISE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-791-0399",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "J8376",
            "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 Sep 20, 2018; 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.