SAMUEL B HERRERA (NPI# 1215012299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215012299 |
| Entity Type | Individual |
| Full Name | SAMUEL B HERRERA |
| Credential | M.D. |
| Practice Address |
4000 24th St Lubbock TX 79410-1894 |
| Mailing Address |
3420 22nd Pl Lubbock TX 79410-1314 |
| Practice Telephone | 8067250030 |
| Mailing Telephone | 8067255844 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | L8728 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 167498803 | 05 | |
| TX | BCBS TX | 8BW897 | 01 |
| TX | CSHCN | 167498804 | 01 |
| Street Address |
4000 24TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960505 | Edwin A Contreras | Pediatrics | 4000 24th St, Lubbock, TX 79410-1894 | 2005-11-25 |
| 1487921623 | Wesley J Crane | Nurse Anesthetist, Certified Registered | 4000 24th St, Lubbock, TX 79410-1894 | 2011-11-16 |
| 1801057260 | Kamal D. Bhakta | Pharmacist | 4000 24th St, Lubbock, TX 79410-1894 | 2008-06-18 |
| 1679766513 | J Eric Sparks | Pediatrics | 4000 24th St, Lubbock, TX 79410-1894 | 2007-08-23 |
| 1306049242 | Neonatal Intensive Care Associates | Pediatrics | 4000 24th St, Nicu, Lubbock, TX 79410-1894 | 2007-06-07 |
| 1629288238 | Covenant Health System | Substance Abuse Rehabilitation Facility | 4000 24th St, Lubbock, TX 79410-1894 | 2007-05-23 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144648700 | Jared Walker | Emergency Medicine | 4110 17th St, Apt. 311, Lubbock, TX 79416-6042 | 2014-04-01 |
| 1629159603 | Tom R Basye | Emergency Medicine | 7905 Milwaukee Ave, Lubbock, TX 79424-0616 | 2006-10-18 |
| 1679669089 | Leslie Ralph Shauf | Emergency Medicine | 6505 2nd Street, Lubbock, TX 79416-3709 | 2006-10-04 |
| 1245252428 | Eldon Stevens Robinson | Emergency Medicine | 2602 50th St, Suite 300, Lubbock, TX 79413-4535 | 2006-07-24 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1083630610 | Concord Medical Group Pllc | Emergency Medicine | 1602 Avenue Q, Lubbock, TX 79401-4732 | 2006-07-15 |
| 1053348631 | Shelton Ray Jackson | Emergency Medicine | 4407 87th St, Lubbock, TX 79424-4229 | 2006-06-27 |
| 1629014782 | Rolando N Torio | Emergency Medicine | 5811 - 11 Place, Suite 8, Lubbock, TX 79416 | 2006-06-20 |
| 1902855653 | Lhh Emergency Physicians Pllc | Emergency Medicine | 4810 N Loop 289, Lubbock, TX 79416-3025 | 2006-05-09 |
| 1962467761 | Linda Aryain Robins | Emergency Medicine | 4015 22nd Place, Lubbock, TX 79410-1121 | 2006-04-18 |
| 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.