Individual provider Active NPI

Lisa Marie Garcia Pomeroy, M.D.

  • Pediatrics Physician
  • Lubbock, TX
National Provider Identifier
1982999215
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q0152 Issued in TX
Practice address
6630 Quaker Ave Ste C
Lubbock, TX 79413
Phone
(806) 743-7660
Fax
(806) 743-7670
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q0152 TX Primary

Addresses

Primary practice location

6630 Quaker Ave Ste C
Lubbock, TX 79413

Mailing address

PO Box 5865
Lubbock, TX 79408-5865
Phone (806) 743-2898

Other practice location 1

3601 4th Street
Lubbock, TX 79430
Phone (806) 743-2244

Other practice location 2

3601 4th Street
Lubbock, TX 79430
Phone (806) 743-2244

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.pomeroy@direct.myteamcare.com

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
I20140926002096 TX Practitioner - Pediatric Medicine 5991925802 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0152TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Pediatrics CurrentSince Jul 16, 2014 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 16, 2014 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Methodist Children'S Hospital Past Accepting new patients

Locations

3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

6630 Quaker Ave
Ste C
Lubbock, TX 79413
Phone (806) 743-7660

6630 Quaker Ave
Lubbock, TX 79413
Phone (800) 872-2956

Interoperability endpoints

  • Direct secure messaging: lisa.pomeroy@direct.myteamcare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1982999215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5865",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794085865",
            "telephone_number": "806-743-2898",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 QUAKER AVE STE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79413",
            "telephone_number": "806-743-7660",
            "fax_number": "806-743-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 4th Street",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "79430",
            "country_code": "US",
            "telephone_number": "806-743-2244",
            "fax_number": "806-743-2314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 4th Street",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "79430",
            "country_code": "US",
            "telephone_number": "806-743-2244",
            "fax_number": "806-743-2314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "LISA MARIE",
        "middle_name": "GARCIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q0152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.pomeroy@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th Street",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.