Active NPI
Edwin A Contreras, M.D PA.
- Neonatal-Perinatal Medicine Physician
- Lubbock, TX
National Provider Identifier
1710960505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- F5874
- Practice address
- 4000 24TH St
Lubbock, TX 79410-1894 - Phone
- (806) 725-4251
- Fax
- (806) 799-6908
- NPI assigned
- Nov 25, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | F5874 | TX | Primary |
Addresses
Primary practice location
4000 24TH St
Lubbock, TX 79410-1894
Mailing address
PO Box 6610
Lubbock, TX 79493-6610
Phone (806) 796-0507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V7612 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| F5874 | TX | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1710960505",
"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": "806-796-0507",
"fax_number": "806-799-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101894",
"telephone_number": "806-725-4251",
"fax_number": "806-799-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "EDWIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D PA.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "F5874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "V7612",
"state": "NM"
}
],
"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 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.