Organization Active NPI

William O. Kearse MD

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1982633871
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9933 Issued in TX
Legal business name
WILLIAM O. KEARSE MD
Practice address
6401 Indiana Ave
Lubbock, TX 79413-5740
Phone
(806) 771-6868
Fax
(806) 771-7444
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mrs. Yvette Hinojosa
Title
Director, Managed Care
Phone
(806) 761-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X J9933 TX Primary

Addresses

Primary practice location

6401 Indiana Ave
Lubbock, TX 79413-5740

Mailing address

PO Box 16304
Lubbock, TX 79490-6304
Phone (806) 785-2045

Other identifiers 1

IdentifierTypeStateIssuer
138166713MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1982633871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16304",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906304",
            "telephone_number": "806-785-2045",
            "fax_number": "806-785-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135740",
            "telephone_number": "806-771-6868",
            "fax_number": "806-771-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM O. KEARSE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "HINOJOSA",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE",
        "authorized_official_telephone_number": "806-761-0333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138166713",
            "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 Mar 10, 2011; 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.