Umc Physician Network Services

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

UMC PHYSICIAN NETWORK SERVICES

Practice address

4004 82ND St
Lubbock, TX 79423-1900

Phone

(806) 722-3150

Fax

(806) 722-4674

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jennett Azzinaro

Title

Manager, Central Business Operation

Phone

(806) 761-0334

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1952580433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY",
            "address_2": "STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073544",
            "telephone_number": "806-761-0334",
            "fax_number": "806-722-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231900",
            "telephone_number": "806-722-3150",
            "fax_number": "806-722-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMC PHYSICIAN NETWORK SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "AZZINARO",
        "authorized_official_first_name": "JENNETT",
        "authorized_official_title_or_position": "MANAGER, CENTRAL BUSINESS OPERATION",
        "authorized_official_telephone_number": "806-761-0334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "FTX078",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147762201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Chisom Ukachukwu, MD
• Ibidunni Omolayo Ukegbu, MD
• Onyinye Joy Ukelegharanya, RN
• Asad Ullah, MD
• Iraj Ullah, DO
• Umc Physician Network Services - Anesthesia Associates
• Umc Physicians
• Ikechukwu Umezurike, MD
• Mitzi D Umstot, M.S.,CCC-SLP
• Unbound Possibilities ABA Therapy, LLC

• Radiology Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.