SUSAN ROBERTSON DEVINE MD (NPI# 1003299850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003299850 |
| Entity Type | Organization |
| Organization Name | SUSAN ROBERTSON DEVINE MD |
| Other Organization Name | DEVINE OBGYN PA |
| Practice Address |
4403 6th St Lubbock TX 79416-4733 |
| Practice Telephone | 8067911122 |
| Practice Fax Number | 8067912252 |
| Mailing Telephone | 8067911122 |
| Mailing Fax Number | 8067912252 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | SUSAN ROBERTSON DEVINE (PRESIDENT) |
| Authorized Official Telephone | 8067911122 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | H9883 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Devine ObGyn PA | Doing Business As Name - Organization |
| Street Address |
4403 6TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-4733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518986827 | Susan Robertson Devine | Specialist | 4403 6th St, Lubbock, TX 79416 | 2006-07-18 |
| 1396297552 | Veronica Lee Estrada | Nurse Practitioner | 4403 6th St, Lubbock, TX 79416-4733 | 2016-11-03 |
| 1568840767 | Susan R Devine Md Pa Dba Devine Obgyn Pa | Obstetrics & Gynecology | 4403 6th St, Lubbock, TX 79416-4733 | 2015-05-08 |
| 1164747960 | Amber Marie Coon | Obstetrics & Gynecology | 4403 6th St, Lubbock, TX 79416-4733 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720426406 | Amy Richards | Obstetrics & Gynecology | 4102 24th St Ste 406, Lubbock, TX 79410-1804 | 2013-06-04 |
| 1477804334 | David Lee Ivy | Obstetrics & Gynecology | 9703 York Pl, Lubbock, TX 79424-4871 | 2012-10-01 |
| 1275844896 | L. Brit Lawrence, M.d., P.a. | Obstetrics & Gynecology | 4002 22nd St, Lubbock, TX 79410-1139 | 2010-06-29 |
| 1073777553 | Michelle Sahinler Md Pa | Obstetrics & Gynecology | 3612 22nd Pl, Lubbock, TX 79410-1318 | 2008-07-15 |
| 1225236912 | Roger Bryan Yandell | Obstetrics & Gynecology | 3601 4th St Ste 3b100, Lubbock, TX 79430-0002 | 2007-07-05 |
| 1982806261 | Ronnelle S Burley Md Pa | Obstetrics & Gynecology | 3711 22nd St Ste B, Lubbock, TX 79410-1900 | 2007-05-31 |
| 1831105675 | Douglas Andrew Lampkin | Obstetrics & Gynecology | 3825 22nd Pl, Lubbock, TX 79410-1117 | 2006-08-01 |
| 1053376855 | Joseph Kimberly Killeen | Obstetrics & Gynecology | 4102 24 St, Suite 502, Lubbock, TX 79410 | 2006-04-18 |
| 1477517555 | Jennifer Michelle Owen | Obstetrics & Gynecology | 5028 122nd St, Lubbock, TX 79424-8398 | 2006-04-14 |
| 1598729667 | Lola Darlene Page | Obstetrics & Gynecology | 4102 24th Street, Suite 412, Lubbock, TX 79410 | 2006-04-14 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.