DR. JACK HENRY (NPI# 1023080652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023080652 |
| Entity Type | Individual |
| Full Name | DR. JACK HENRY |
| Credential | MD |
| Practice Address |
4004 82nd St Lubbock TX 79423-1900 |
| Practice Telephone | 8067223100 |
| Mailing Telephone | 8067223100 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | D1880 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 099944301 | 05 | |
| TX | 048641703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306860556 | Jack Albert Henry | Dentist | 3993 Lake Grove Ave, Lake Oswego, OR 97035-4493 | 2006-07-27 |
| Street Address |
4004 82ND ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172786 | Mark H. Soriano | Internal Medicine | 4004 82nd St, Lubbock, TX 79423-1900 | 2005-05-23 |
| 1952580433 | Umc Physician Network Services | Clinic/Center | 4004 82nd St, Lubbock, TX 79423-1900 | 2007-10-31 |
| 1992998181 | Michal Pankratz | Pediatrics | 4004 82nd St, Suite C, Lubbock, TX 79423-7450 | 2007-08-22 |
| 1093744989 | Jack H. Henry Md Pa | Orthopaedic Surgery | 4004 82nd St, Lubbock, TX 79423-1900 | 2006-07-02 |
| 1851329346 | Michele L Brooks | Dietitian, Registered | 4004 82nd St, Lubbock, TX 79423-1900 | 2006-06-30 |
| 1801843636 | Jana L Roddy | Nurse Practitioner | 4004 82nd St, Lubbock, TX 79423-1900 | 2006-05-27 |
| 1114983525 | Gene Bell | Nurse Practitioner | 4004 82nd St, Lubbock, TX 79423-1900 | 2006-04-25 |
| 1073579454 | Jalyn Wall | Nurse Practitioner | 4004 82nd St, Lubbock, TX 79423-2065 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104143957 | Jordan Brent Simpson | Orthopaedic Surgery | 3601 4th St # Ms 9436, Lubbock, TX 79430-0002 | 2010-05-03 |
| 1295065720 | Dilip K. Pal, M.d., P.a. | Orthopaedic Surgery | 3601 22nd Pl Ste A, Lubbock, TX 79410-1341 | 2010-01-06 |
| 1245289537 | Texas Tech University Health Sciences Center Lubbock | Orthopaedic Surgery | 3601 4th St Fl 4, Lubbock, TX 79430 | 2006-05-06 |
| 1154384543 | George W. Brindley | Orthopaedic Surgery | 3502 9th Street, Suite 450, Lubbock, TX 79415-3368 | 2006-04-08 |
| 1528020336 | Jerry Speight Grimes Jr. | Orthopaedic Surgery | 4642 N Loop 289 Ste 101, Lubbock, TX 79416-2422 | 2006-04-05 |
| 1710948815 | Robert Gaines | Orthopaedic Surgery | 3506 21st St Ste 203, Lubbock, TX 79410-1211 | 2006-03-29 |
| 1356312359 | Amy Elizabeth Henning | Orthopaedic Surgery | 4102 24th St Ste 506, Lubbock, TX 79410-1805 | 2006-01-28 |
| 1821611294 | Regal Park Multi-speciality Group, LLP | Orthopaedic Surgery | 8214 Milwaukee Ave, Lubbock, TX 79424-0923 | 2020-05-20 |
| 1407376163 | Jon Cooper Wall Jr. | Orthopaedic Surgery | 3601 4th St # Ms 9436, Lubbock, TX 79430-0002 | 2017-06-23 |
| 1366962029 | Amanda Murray Purcell | Orthopaedic Surgery | 3601 4th St # Ms 9436, Lubbock, TX 79430-0002 | 2017-06-23 |
| 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.