NPIMap

Organization Active NPI

Univ Phys, Amarillo Pedi-Partners

  • Clinical Medical Laboratory
  • Amarillo, TX
National Provider Identifier
1891848552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNIV PHYS, AMARILLO PEDI-PARTNERS
Practice address
1600 S Coulter St
Suite F600
Amarillo, TX 79106-1710
Phone
(806) 468-4300
Fax
(806) 468-4398
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Denise Russell, CPCS
Title
Credentialing Coordinator
Phone
(806) 354-5495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X TX Primary

Addresses

Primary practice location

1600 S Coulter St
Suite F600
Amarillo, TX 79106-1710

Mailing address

1600 S Coulter St
Suite F600
Amarillo, TX 79106-1710
Phone (806) 468-4300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891848552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "SUITE F600",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-468-4300",
            "fax_number": "806-468-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "SUITE F600",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-468-4300",
            "fax_number": "806-468-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIV PHYS, AMARILLO PEDI-PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "806-354-5495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.