CENTER FOR ORTHOPEDIC SURGERY L.L.P. (NPI# 1093873176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093873176 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ORTHOPEDIC SURGERY L.L.P. |
| Practice Address |
4642 N Loop 289 Suite 101 Lubbock TX 79416-2409 |
| Practice Telephone | 8067974985 |
| Practice Fax Number | 8067447545 |
| Mailing Telephone | 8067974985 |
| Mailing Fax Number | 8067447545 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-10-04 |
| Authorized Official Name | TIFFANY D FRANKLIN (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 8067974985 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 083662901 | 05 | |
| TX | MEDICARE RAILROAD | CC8817 | 01 |
| Street Address |
4642 N LOOP 289 SUITE 101 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475372 | Patrick F Molligan | Orthopaedic Surgery | 4642 N Loop 289, Ste 219, Lubbock, TX 79416-2425 | 2005-05-27 |
| 1902358559 | Amy Hopkins | Nurse Practitioner | 4642 N Loop 289, Suite 215, Lubbock, TX 79416-2409 | 2016-10-31 |
| 1417326547 | Mika Polly | Nurse Practitioner | 4642 N Loop 289, Ste 211, Lubbock, TX 79416-2425 | 2015-09-18 |
| 1508201526 | Physical Therapy Today of Lubbock, Lp | Physical Therapist | 4642 N Loop 289, Suite 205, Lubbock, TX 79416-2409 | 2013-05-03 |
| 1568646925 | Lisa Marie Wray | Nurse Practitioner | 4642 N Loop 289, Suite 219, Lubbock, TX 79416-2409 | 2007-12-20 |
| 1417140641 | Shamima Sattar | Internal Medicine | 4642 N Loop 289, Lubbock, TX 79416-2409 | 2007-08-21 |
| 1740338433 | Julius Lyonga | Physician Assistant | 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 | 2007-01-08 |
| 1962568642 | Carlos Rizo-patron | Internal Medicine | 4642 N Loop 289, Ste. 215, Lubbock, TX 79416-2409 | 2006-12-28 |
| 1306932116 | Darla F Gleaves | Specialist/Technologist | 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 | 2006-10-05 |
| 1538270277 | Pinnacle Imaging, Lp | Clinic/Center | 4642 N Loop 289, Suite 111, Lubbock, TX 79416-2409 | 2006-08-31 |
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| 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 |
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| 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 |
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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.