RANDY VAZQUEZ (NPI# 1053749044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053749044 |
| Entity Type | Individual |
| Full Name | RANDY VAZQUEZ |
| Practice Address |
3615 19th St # 151 Lubbock TX 79410-1203 |
| Mailing Address |
5202 Auburn St Apt 1616 Lubbock TX 79416-1487 |
| Practice Telephone | 8067237146 |
| Mailing Telephone | 5209717134 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | PF1194 | TX | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184624 | Randy Vazquez | Case Manager/Care Coordinator | 8100 Oak Ln Ste 4048100, Miami Lakes, FL 33016-5820 | 2020-11-06 |
| Street Address |
3615 19TH ST # 151 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770704033 | Stephanie Sue Starkovich | Perfusionist | Covenant Medical Center, 3615 19th Street, Lubbock, TX 79410 | 2007-05-02 |
| 1891913471 | Jensen Daniel Fritz | Perfusionist | 4414 14th St, Lubbock, TX 79416-4802 | 2007-04-21 |
| 1497878342 | Darrell L. Crum | Perfusionist | 4705 22nd St, Lubbock, TX 79407-2317 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346132 | Mark Wenborne | Perfusionist | 3904 Broughton, Schertz, TX 78154-2966 | 2020-01-28 |
| 1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
| 1326695115 | Timothy Ruiz | Perfusionist | 520 E Bluebird Ave, Mcallen, TX 78504-2236 | 2019-08-26 |
| 1356865109 | Dauvon Lamar Mccormick | Perfusionist | 14603 Huebner Rd. Blg 28, Ste 28101, San Antonio, TX 78203 | 2017-08-02 |
| 1982144036 | Ditta Solutions LLC | Perfusionist | 4054 Mckinney Ave Ste 202, Dallas, TX 75204-2058 | 2017-03-07 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1386064202 | Sandra Powell Melchor | Perfusionist | 8518 Shooting Quail, San Antonio, TX 78250-4613 | 2014-04-17 |
| 1982020038 | Julie A Dollison | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-03-13 |
| 1891065793 | Haven Allan Young | Perfusionist | 1331 S Flores St, 308, San Antonio, TX 78204-1655 | 2012-01-09 |
| 1154601821 | Jennifer Meyer | Perfusionist | 7109 King Ranch Rd, North Richland Hills, TX 76182-9300 | 2011-08-25 |
| Find all providers with the same taxonomy | ||||
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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.