Individual provider Active NPI

Davor Vugrin, MD

  • Hematology & Oncology Physician
  • Lubbock, TX
National Provider Identifier
1689746448
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
H1235 Issued in TX
Practice address
2232 Indiana Ave
Suite 102
Lubbock, TX 79410-2139
Phone
(806) 793-0988
Fax
(806) 793-1697
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X H1235 TX Primary

Addresses

Primary practice location

2232 Indiana Ave
Suite 102
Lubbock, TX 79410-2139

Mailing address

2232 Indiana Ave
Suite 102
Lubbock, TX 79410-2139
Phone (806) 793-0988

Other identifiers 3

IdentifierTypeStateIssuer
00F37NOtherTXBLUE CROSS PROVIDER #
098261301MedicaidTX
752380470OtherTXTRICARE #

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

State licenses

LicenseStateTypeSpecialty
H1235TXMDHematology & Oncology Physician

Interoperability endpoints

  • Direct secure messaging: davor.vugrin@direct.myteamcare.com
  • Direct secure messaging: dvugrin@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1689746448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 INDIANA AVE",
            "address_2": "SUITE 102",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102139",
            "telephone_number": "806-793-0988",
            "fax_number": "806-793-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 INDIANA AVE",
            "address_2": "SUITE 102",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102139",
            "telephone_number": "806-793-0988",
            "fax_number": "806-793-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUGRIN",
        "first_name": "DAVOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "H1235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER  #",
            "identifier": "00F37N",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098261301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE #",
            "identifier": "752380470",
            "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 Feb 13, 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.