Individual provider Active NPI

Jeffrey N Colvin, M.D.

  • Anesthesiology Physician
  • Lubbock, TX
National Provider Identifier
1750304473
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H2313 Issued in TX
Practice address
4642 N Loop 289 Ste 209
Lubbock, TX 79416-2425
Phone
(806) 797-4596
Fax
(806) 797-6518
NPI assigned
Jul 25, 2006
Last updated
Nov 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H2313 TX Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X H2313 TX

Addresses

Primary practice location

4642 N Loop 289 Ste 209
Lubbock, TX 79416-2425

Mailing address

4642 N.Loop 289 Ste 209
Lubbock, TX 79416-0416
Phone (806) 797-4596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000141 TX Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5991807901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Jul 1, 2008 Accepting new patients
BG Anesthesia, P.a. Anesthesiology PastSince Sep 15, 2019 Accepting new patients
Covenant Medical Group Anesthesiology Past Accepting new patients

Locations

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

2412 50th St
Lubbock, TX 79412
Phone (806) 788-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1750304473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 N.LOOP 289 STE 209",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794160416",
            "telephone_number": "806-797-4596",
            "fax_number": "806-797-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289 STE 209",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162425",
            "telephone_number": "806-797-4596",
            "fax_number": "806-797-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "JEFFREY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H2313",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "H2313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.