Active NPI
William O. Kearse MD
- Internal Medicine Physician
- Lubbock, TX
National Provider Identifier
1982633871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J9933
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138166713 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.